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PONDEROSA FAMILY CARE, LLC
NPI 1144535626
Internal Medicine in Payson, AZ

Active since August 09, 2010CLIA Certified · 2 labs
806 S PONDEROSA ST, PAYSON, AZ 85541(928) 468-8603 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ponderosa Family Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONDEROSA FAMILY CARE, LLC (NPI 1144535626) is a healthcare organization registered as an internal medicine in Payson, Arizona and active in the NPI registry since August 2010. The organization holds 2 active CLIA laboratory certificates and lists Alan P Michels, Physician, as its authorized official.

NPPES Registry Identity

NPI1144535626
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePONDEROSA FAMILY CARE, LLC
Location Address806 S PONDEROSA STPayson, AZ 85541-5541
Mailing AddressPo Box 2901Payson, AZ 85547-2901 · (928) 468-9280
Phone(928) 468-8603
Organization SubpartNo
Authorized OfficialAlan P MichelsPhysician · (928) 468-8603
Enumeration DateAugust 9, 2010
Last NPPES UpdateDecember 5, 2014
✔ NPI 1144535626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 29337
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 29337 (AZ)
806 S PONDEROSA ST, Payson, AZ 85541
Open in Google Maps ↗

Other Identifiers 3

Medicare PINZ74003AZ
Medicare UPINH42890AZ
Medicaid703422AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2187216

Ponderosa Family Care · Payson, AZ
Active · expires Jun 25, 2028
CLIA Number03D2187216
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorDr. Alan Michels
Laboratory Phone(928) 468-8603
Laboratory LocationPonderosa Family Care708 S Coeur D' Alene Ln, Payson, AZ 85541
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2026773

Ponderosa Family Care · Payson, AZ
Active · expires Jul 7, 2027
CLIA Number03D2026773
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorDr. Alan Michels
Laboratory Phone(928) 468-8603
Laboratory LocationPonderosa Family Care708 S Coeur' D Alene Ln Ste D, Payson, AZ 85541
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDITH A HUNT M.D.
Pediatrics
806 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 468-8603
MR. MICHAEL KEENE DEMACK PA C S
Physician Assistant (Medical)
806 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 468-8603
LONE WOLF MEDICINE, INC
Physician Assistant (Medical)
806 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 474-6617
ALAN P MICHELS M.D.
Internal Medicine
806 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 468-8603
DURWARD LYNCH CNP
Nurse Practitioner
806 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 468-8603
DR. LAUREN WASHATKA MD
Internal Medicine
806 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 468-8603
LYNNE A VIGIL N.P.
Nurse Practitioner
806 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 468-8603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ponderosa Family Care, LLC's NPI number?

The NPI number for Ponderosa Family Care, LLC is 1144535626. It was assigned to this organization in the NPPES registry on August 9, 2010.

Where is Ponderosa Family Care, LLC located?

Ponderosa Family Care, LLC is located at 806 S Ponderosa St, Payson, AZ 85541. The listed phone number is (928) 468-8603.

What is Ponderosa Family Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Ponderosa Family Care, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Ponderosa Family Care, LLC accept?

Health plans from Imperial Insurance Companies, Inc. list Ponderosa Family Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ponderosa Family Care, LLC was last updated on December 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.