PRIORITY FAMILY MEDICAL CLINIC LLC


Address: 3625 Crossings Dr Ste B, Prescott, AZ 86305-7159
Phone: 9282770875

PRIORITY FAMILY MEDICAL CLINIC LLC (NPI# 1205309812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205309812
Entity Type Organization
Organization Name PRIORITY FAMILY MEDICAL CLINIC LLC
Practice Address 3625 Crossings Dr Ste B
Prescott
AZ 86305-7159
Practice Telephone 9282770875
Practice Fax Number 9283795177
Mailing Telephone 9282770875
Enumeration Date 2019-01-07
Last Update Date 2019-03-06
Authorized Official Name THOMAS JUDAH GANN (NURSE PRACTITIONER)
Authorized Official Telephone 9282770875
Authorized Official Credential FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 3625 CROSSINGS DR STE B
City PRESCOTT
State AZ
Zip Code 86305-7159

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972005395 Granite View Adult Care Home LLC Assisted Living Facility 7105 Williamson Valley Road, Prescott, AZ 86305 2018-03-01
1215468095 Valerie Williams Occupational Therapist 926 S. Hinman Dr., Prescott, AZ 86305 2017-03-23
1174073837 Caspian Gleam Medical Center LLC Clinic/Center 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 2016-10-06
1114388634 Marla Beth Perkins Speech-Language Pathologist 3160 Stillwater Dr., Prescott, AZ 86305 2016-03-10
1790159853 Michele A. Bibeau, D.d.s. Dentist 1058 Fair Street, Suite A, Prescott, AZ 86305 2015-11-30
1609264837 Integrative Pain Centres of Prescott Pain Medicine 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 2014-12-22
1649697251 Sharon Marilyn Jackson Counselor 3636 Crossings Drive, Prescott, AZ 86305 2014-03-20
1215351259 Stefanie Maneval Registered Nurse 900 Iron Springs Rd, Prescott, AZ 86305 2014-02-11
1508207523 Recovery In The Pines, LLC Community/Behavioral Health 919 12th Place #13, Prescott, AZ 86305 2013-07-08
1871857359 Neal Herbert Segovia Cabaluna Internal Medicine 3773 Crossings Dr Ste C, Prescott, AZ 86305 2012-06-28
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538714092 Prescott Complete Care Family Medicine 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 2019-08-01
1740462779 Lawrence H Borish Family Medicine 4100 W Marlow Rd, Prescott, AZ 86305-5511 2007-11-30
1295940351 Kevin S Doyle Md Pllc Family Medicine 905 Angelita Dr, Prescott, AZ 86303-5019 2007-05-11
1811029804 Keith Marion Keating Family Medicine 3607 Crossings Dr Ste B, Prescott, AZ 86305-7149 2007-03-12
1124156997 Irene Anna Royko Family Medicine 1654 Coyote Rd, Prescott, AZ 86303-5339 2007-03-01
1144398355 Mark Everett Kiffer Family Medicine 6200 W Indian Pony Ct, Prescott, AZ 86305-1542 2006-12-04
1023181583 Robert Jeffrey Zieve Family Medicine 343 S Montezuma St, Prescott, AZ 86303-7022 2006-11-15
1154413789 Kenneth Purdy Archer Family Medicine 1003 Division Street, Suite # 3, Prescott, AZ 86301-1657 2006-09-29
1730289380 Ellen F. Bunch Family Medicine 1530 W Cliff Rose Rd, Prescott, AZ 86305-7434 2006-09-24
1649376831 Peter L Powers Family Medicine 1000 Willow Creek Rd., Suite B, Prescott, AZ 86301 2006-09-15
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Competitor

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City PRESCOTT
Zip Code 86305

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Dataset Information

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.

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