Active NPI
Family Practice Specialists LTD.
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY PRACTICE SPECIALISTS LTD.
- Practice address
- 4600 E Shea Blvd Ste 100
Phoenix, AZ 85028-6031 - Phone
- (602) 955-8700
- Fax
- (602) 553-8142
- NPI assigned
- Mar 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark A Wyse, M.D.
- Title
- President
- Phone
- (602) 955-8700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | AZ | ||
| Family Medicine Physician | 207Q00000X | AZ | Primary |
Addresses
Primary practice location
4600 E Shea Blvd Ste 100
Phoenix, AZ 85028-6031
Mailing address
4600 E Shea Blvd Ste 100
Phoenix, AZ 85028-6031
Phone (602) 955-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0527400 | Family Practice Specialists | Accreditation | Dec 22, 2025 |
National Provider Directory
National Provider DirectoryLocations
4319 N 32nd St
Phoenix, AZ 85018
Phone (602) 955-8700
Interoperability endpoints
- https://api.platform.athenahealth.com/1482/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 14
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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1346200060
-
- Gerontology Nurse Practitioner
- Phoenix, AZ
- NPI 1417518564
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1073799813
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760725204
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1215996640
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1982660726
-
- Primary Care Nurse Practitioner
- Phoenix, AZ
- NPI 1285352823
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1497792964
-
- Family Nurse Practitioner
- Tempe, AZ
- NPI 1760801369
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1447429097
-
- Physician Assistant
- Scottsdale, AZ
- NPI 1649421306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695859200000",
"number": "1972563187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 E SHEA BLVD STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850286031",
"telephone_number": "602-955-8700",
"fax_number": "602-553-8142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 E SHEA BLVD STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850286031",
"telephone_number": "602-955-8700",
"fax_number": "602-553-8142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE SPECIALISTS LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A",
"authorized_official_last_name": "WYSE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-955-8700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Family Involvement Center
- Family Kare Walk-in Klinic LLC
- Family Matters Community Care, LLC
- Family Medical and Wellness Care, PLC
- Family Practice Clinic LTD
- Family Resource Center 0384 (Psychological & Family Health (Asso.))
- Family Service Agency
- Family Service Agency (Addiction Resources Inc.)
- Family Service Aides LLC
- Family Standard Home Care & Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.