McKellips Family Medical Clinic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2244 Issued in AZ

Legal business name

MCKELLIPS FAMILY MEDICAL CLINIC

Doing business as

Ferguson Family Medicine

Practice address

3514 N Power Rd
105
Mesa, AZ 85215-2903

Phone

(480) 422-8533

NPI assigned

May 8, 2017

Organization subpart

No

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

Authorized official

Name

Sabrina Montanez

Title

Office Manger

Phone

(480) 422-8533

Specialties & licenses 1

Addresses

Other names 1

• Ferguson Family Medicine Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1962938175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 N POWER RD",
            "address_2": "105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85215",
            "telephone_number": "480-422-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 N POWER RD",
            "address_2": "105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152903",
            "telephone_number": "480-422-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKELLIPS FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "MONTANEZ",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "480-422-8533"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "2244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ferguson Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robyn McKay, PHD
• Todd McKay
• Leslie Ellen McKee, NP
• Yuri F McKee, M.D.
• Paul H McKellar, PMHNP
• McKellips Family Medical Clinic, PLLC
• McKellips Internal Medicine PLLC
• McKenna Morgan PA-C, PLLC
• Alexis Morgan McKenna, NMD
• Sarah McKenna, D.O.

• Durable Medical Equipment & Medical Supplies in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.