Sun Lakes Family Physicians LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUN LAKES FAMILY PHYSICIANS LLC

Practice address

10450 E Riggs Rd
Ste 114
Sun Lakes, AZ 85248-7758

Phone

(480) 505-2450

Fax

(480) 505-2465

NPI assigned

Nov 2, 2005

Last updated

Mar 21, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth D Paige, DONPI 1487645685

Title

Physician Owner

Phone

(480) 505-2450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth D Paige, DO

  • Family Medicine Physician
  • Sun Lakes, AZ
  • NPI 1487645685
  Medicare reassignment NPD Authorized official
• Lauren Faith Blitzer, NP

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1902409824
  Medicare reassignment NPD
• Amanda Higgins, FNP-C

  • Family Nurse Practitioner
  • Sun Lakes, AZ
  • NPI 1376183426
  Medicare reassignment NPD
• Jennifer S McDonald, MD

  • Family Medicine Physician
  • Sun Lakes, AZ
  • NPI 1750372298
  Medicare reassignment NPD
• Roger P Rose, DO

  • Family Medicine Physician
  • Sun Lakes, AZ
  • NPI 1184615734
  Medicare reassignment NPD
• Venecia L Rayhons, PA

  • Medical Physician Assistant
  • Sun Lakes, AZ
  • NPI 1134374358
  Medicare reassignment
• Anthony McCall Young, NP-C

  • Family Nurse Practitioner
  • Sun Lakes, AZ
  • NPI 1255596060
  Medicare reassignment
• Tracy Leigh Thompson, FNP-BC

  • Family Nurse Practitioner
  • Saginaw, MI
  • NPI 1225546021
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1952392581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 E RIGGS RD",
            "address_2": "STE 114",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487758",
            "telephone_number": "480-505-2450",
            "fax_number": "480-505-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 E RIGGS RD",
            "address_2": "STE 114",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487758",
            "telephone_number": "480-505-2450",
            "fax_number": "480-505-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN LAKES FAMILY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "PAIGE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "480-505-2450",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Steward, LMSW
• Stuckey Psychological Services, PC
• Sun Lake Optical
• Sun Lakes Family Dental LLC
• Sun Lakes Family Dentistry,Inc.
• Sun Lakes Fire District
• Sun Lakes Health Care, PC
• Sun Lakes Periodontics & Implant Dentistry, PLLC
• Theresa Taylor
• Thomas G Hopkins MD PLC

• Family Medicine Physician in Sun Lakes, AZ
• Providers in Sun Lakes, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.