GREENFIELD FAMILY MEDICINE LLC – NPI #1336255264
Physician Assistant

GREENFIELD FAMILY MEDICINE LLC is a physician assistant located in MESA, AZ. NPPES has assigned the NPI number 1336255264 to GREENFIELD FAMILY MEDICINE LLC on August 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 363AM0700X from the Health Care Provider Taxonomy code set, which is classified as Physician Assistant, specializing in Medical

The NPI profile was last updated on Apr 14, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREENFIELD FAMILY MEDICINE LLC below.

NPI Profile for
GREENFIELD FAMILY MEDICINE LLC

NPI Number
1336255264
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREENFIELD FAMILY MEDICINE LLC
Primary location
1244 N. GREENFIELD RD.
SUITE 104
MESA, AZ 85205
Phone: (480) 964-6900 Fax: (480) 964-6901
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARLA JENKINS
OFFICE MANAGER
Phone: (480) 964-6900
Updated
Certification Date
Apr 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363AM0700X
- Physician Assistant / Medical (Primary)
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.