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ANTHRACITE MEDICAL PLLC
NPI 1366206500
Family Medicine in Prescott, AZ

Active since February 08, 2024
4855 BUTTERFLY DR, PRESCOTT, AZ 86301(570) 299-0037 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anthracite Medical Pllc NPPES

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

ANTHRACITE MEDICAL PLLC (NPI 1366206500) is a healthcare organization registered as a family medicine in Prescott, Arizona and active in the NPI registry since February 2024. The organization lists Joseph Leonard Viccica, Member, as its authorized official.

NPPES Registry Identity

NPI1366206500
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANTHRACITE MEDICAL PLLC
Location Address4855 BUTTERFLY DRPrescott, AZ 86301-5770
Mailing Address4855 Butterfly DrPrescott, AZ 86301-5770 · (570) 299-0037
Phone(570) 299-0037
Organization SubpartNo
Authorized OfficialJoseph Leonard ViccicaMember · (570) 299-0037
Enumeration DateFebruary 8, 2024
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1366206500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4855 BUTTERFLY DR, Prescott, AZ 86301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Anthracite Medical PLLC's NPI number?

The NPI number for Anthracite Medical PLLC is 1366206500. It was assigned to this organization in the NPPES registry on February 8, 2024.

Where is Anthracite Medical PLLC located?

Anthracite Medical PLLC is located at 4855 Butterfly Dr, Prescott, AZ 86301. The listed phone number is (570) 299-0037.

What is Anthracite Medical PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Anthracite Medical PLLC was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.