Mountain Family Care and Walk in PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45758 Issued in AZ

Legal business name

MOUNTAIN FAMILY CARE AND WALK IN PLLC

Practice address

320 E Deuce of Clubs
Show Low, AZ 85901-4808

Phone

(928) 532-3926

Fax

(928) 367-4916

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Sean Smithson, M.D.

Title

Owner

Phone

(928) 532-3926

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen M Huff, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1841667334
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1972902997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2680",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859022680",
            "telephone_number": "928-532-3926",
            "fax_number": "928-367-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E DEUCE OF CLUBS",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014808",
            "telephone_number": "928-532-3926",
            "fax_number": "928-367-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN FAMILY CARE AND WALK IN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "SMITHSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-532-3926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "45758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711987",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Anne Million
• Jeffrey L Moffat, MD
• Rebecca Moffat, RD, CDE
• Jeffrey R. Moore, AU.D.
• Mountain Creek Surgical Consultants
• Mountain Pediatrics Clinic PLLC
• Mountain Springs Counseling P.L.L.C
• Mountain Strong Behavioral Health LLC
• Mountain View Family Practice
• Edward Kraig Muder, PHARMD

• All providers in Show Low, AZ
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.