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GENERATIONS FAMILY MEDICINE PC NPI 1821293580


NPI Information

NPI: 1821293580
Provider Name: GENERATIONS FAMILY MEDICINE PC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
13945 W GRAND AVE
SUITE A-101
SURPRISE, AZ
ZIP 85374
Phone: (623) 537-5170
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GENERATIONS FAMILY MEDICINE PC is a preferred provider organization in Surprise, AZ. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. GENERATIONS FAMILY MEDICINE PC NPI is 1821293580. The provider is registered as an organization entity type.

The provider's business location address is:

13945 W GRAND AVE
SUITE A-101
SURPRISE, AZ
ZIP 85374-437
Phone: (623) 537-5170
Fax: (623) 537-5274

The provider's authorized official is Karla Sue Vitale .
The authorized official title is Owner and has the following contact phone number (623) 537-5170.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 8/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization3874ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11821293580MEDICARE OSCAR/CERTIFICATIONARIZONA
21659334779MEDICARE OSCAR/CERTIFICATIONARIZONA
3AZ0442900OTHERARIZONABCBS
42Z1716OTHERARIZONAHEALTH NET
51659334779MEDICARE NSCARIZONA
6I39519MEDICARE UPINARIZONA
7954140MEDICAIDARIZONA
8Z103747MEDICARE PINARIZONA
97039717OTHERARIZONAAETNA
101821293580MEDICARE NSCARIZONA
11103746MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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