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MEMD PROVIDER NETWORK LLC
NPI 1376154625
Family Medicine in Phoenix, AZ

Active since August 11, 2020
6910 E CHAUNCEY LN STE 220, PHOENIX, AZ 85054(480) 339-4573 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 22, 2020, Aug 24, 2020, Aug 11, 2020 (3 updates tracked since 2020).

About Memd Provider Network Llc NPPES

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

MEMD PROVIDER NETWORK LLC (NPI 1376154625) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since August 2020. The organization lists Glenn Dean, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376154625
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEMD PROVIDER NETWORK LLC
Location Address6910 E CHAUNCEY LN STE 220Phoenix, AZ 85054-5162
Mailing Address6910 E Chauncey Ln Ste 220Phoenix, AZ 85054-5162 · (480) 339-4573
Phone(480) 339-4573
Organization SubpartNo
Authorized OfficialGlenn DeanCfo · (480) 339-4573
Enumeration DateAugust 11, 2020
Last NPPES UpdateSeptember 22, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1376154625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
6910 E CHAUNCEY LN STE 220, Phoenix, AZ 85054
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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 Memd Provider Network LLC's NPI number?

The NPI number for Memd Provider Network LLC is 1376154625. It was assigned to this organization in the NPPES registry on August 11, 2020.

Where is Memd Provider Network LLC located?

Memd Provider Network LLC is located at 6910 E Chauncey Ln Ste 220, Phoenix, AZ 85054. The listed phone number is (480) 339-4573.

What is Memd Provider Network LLC'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 Memd Provider Network LLC was last updated on September 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.