PIMC PROFESSSIONAL SERVICES
NPI 1184738049
Family Medicine in Phoenix, AZ

Q: What is Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 18, 2006

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1618 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2021, Jun 18, 2019, Nov 9, 2017 (3 updates tracked since 2017).

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About Pimc Professsional Services NPPES

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

PIMC PROFESSSIONAL SERVICES (NPI 1184738049) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since August 2006. The organization lists Laura A Tillman, Cmo, as its authorized official.

NPPES Registry Identity

NPI1184738049

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM.

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 95460Cleveland, OH 44193-0698 · (602) 581-6088 · Fax (602) 263-1619

Phone(602) 263-1200

Fax(602) 263-1618

Organization SubpartYesParent: Phoenix Indian Medical Center

Authorized OfficialLaura A TillmanCmo · (602) 263-1674

Enumeration DateAugust 18, 2006

Last NPPES UpdateMay 26, 20213 updates tracked since enumeration

NPPES CertifiedMay 26, 2021

✔ NPI 1184738049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedDermatologyTaxonomy 207N00000X

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedSurgeryTaxonomy 208600000X

4212 N 16TH ST, Phoenix, AZ 85016

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Other Names 1

Doing Business AsPimc Professsional Services

Other Identifiers 4

Medicaid092354AZ

Medicaid418196AZ

Medicaid022062AZ

OtherP206550AZ · Bcbsaz

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

Other Providers at the Same Location NPPES 20

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

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)