MCKELLIPS FAMILY MEDICAL CLINIC, PLLC – NPI #1659787497
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.

Health Care Provider Taxonomy Code for Family Medicine

MCKELLIPS FAMILY MEDICAL CLINIC, PLLC is a provider located in MESA, AZ. NPPES has assigned the NPI number 1659787497 to MCKELLIPS FAMILY MEDICAL CLINIC, PLLC on July 01, 2014. 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 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Nov 01, 2019. 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 MCKELLIPS FAMILY MEDICAL CLINIC, PLLC below.

NPI Profile for
MCKELLIPS FAMILY MEDICAL CLINIC, PLLC

NPI Number
1659787497
Enumeration Date

(about 12 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
MCKELLIPS FAMILY MEDICAL CLINIC, PLLC
Primary location
3514 N POWER RD
BLDG. 1, SUITE 105
MESA, AZ 85215-8521
Phone: (480) 422-8533 Fax:
Mailing address
3514 N POWER RD STE 105
MESA, AZ 85215-2907
Phone: (480) 422-8533 Fax: (480) 981-2442
Organization Subpart
No
Authorized Official
CARL FERGUSON
PROVIDER
Phone: (480) 830-1553
Updated
Identifiers

Identifiers for MCKELLIPS FAMILY MEDICAL CLINIC, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPTANAZ7200350001
MEDICAIDAZ273665
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
207Q00000X
- Family Medicine (Primary)
261QP2300X
- Clinic/Center / Primary Care

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.