TLC FAMILY MEDICINE PC (NPI# 1174573489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174573489 |
| Entity Type | Organization |
| Organization Name | TLC FAMILY MEDICINE PC |
| Practice Address |
16515 S 40th St Suite 131 Phoenix AZ 85048-0558 |
| Practice Telephone | 4805981357 |
| Practice Fax Number | 4805983070 |
| Mailing Telephone | 4805981357 |
| Mailing Fax Number | 4805983070 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-10-10 |
| Authorized Official Name | DR. ANTHONY MANNINO (PRESIDENT CEO) |
| Authorized Official Telephone | 4805981357 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
16515 S 40TH ST SUITE 131 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-0558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655395 | Michael Akerson | Chiropractor | 16515 S 40th St, Suite 133, Phoenix, AZ 85048-0558 | 2005-08-02 |
| 1043715493 | Erin Conway | Nurse Practitioner | 16515 S 40th St, Phoenix, AZ 85048-0558 | 2018-03-28 |
| 1316394646 | Huguette Kalongo | Nurse Practitioner | 16515 S 40th St, Phoenix, AZ 85048-0558 | 2016-05-17 |
| 1316348790 | Mark Dietzgen | Naturopath | 16515 S 40th St, Suite 103, Phoenix, AZ 85048-0558 | 2014-09-04 |
| 1801219639 | Spooner Ahwatukee Hand Therapy, PC | Occupational Therapist | 16515 S 40th St, Ste 119b, Phoenix, AZ 85048-0558 | 2014-01-30 |
| 1114348588 | Mary Margaret Rivera | Nurse Practitioner | 16515 S 40th St, Suite 103, Phoenix, AZ 85048-0558 | 2014-01-02 |
| 1639410723 | Sanjay B Patel, Do, PC | Emergency Medicine | 16515 S 40th St, Suite 139, Phoenix, AZ 85048-0558 | 2013-03-14 |
| 1275872848 | Kelly Lynne Armenta | Registered Nurse | 16515 S 40th St, Suite 139, Phoenix, AZ 85048-0558 | 2013-02-02 |
| 1447503818 | Rhino Billing | Specialist/Technologist, Other | 16515 S 40th St, Suite 123, Phoenix, AZ 85048-0558 | 2012-10-22 |
| 1255693289 | Spooner Physical Therapy & Hand Rehab PC | Clinic/Center | 16515 S 40th St, Ste 119 B, Phoenix, AZ 85048-0558 | 2012-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
| Find all providers in zip 85048 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
| 1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
| 1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
| 1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
| 1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
| 1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
| 1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.