1. Home
  2. Directory
  3. Arizona
  4. Dewey
  5. Family Medicine
  6. NPI Profile

ASURA HEALTHCARE LLC
NPI 1669991485
Family Medicine in Dewey, AZ

Active since September 13, 2017
12075 E STATE ROUTE 69 STE B, DEWEY, AZ 86327(405) 590-8861(888) 389-7077 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Asura Healthcare Llc NPPES

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

ASURA HEALTHCARE LLC (NPI 1669991485) is a healthcare organization registered as a family medicine in Dewey, Arizona and active in the NPI registry since September 2017. The organization lists John S Gilliam, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1669991485
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameASURA HEALTHCARE LLC
Location Address12075 E STATE ROUTE 69 STE BDewey, AZ 86327-4517
Mailing Address303 E Gurley St Unit 479Prescott, AZ 86301-3804 · (405) 590-8861 · Fax (888) 389-7077
Phone(405) 590-8861
Fax(888) 389-7077
Organization SubpartNo
Authorized OfficialJohn S GilliamMedical Director · (405) 590-8861
Enumeration DateSeptember 13, 2017
✔ NPI 1669991485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 41469
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 · Adult Mental HealthTaxonomy 261QM0850X · License AP3224 (AZ)
12075 E STATE ROUTE 69 STE B, Dewey, AZ 86327
Open in Google Maps ↗

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 7

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

MS. LINDA JO NELSON FNP
Nurse Practitioner (Family)
12075 E STATE ROUTE 69 STE B
DEWEY, AZ 86327
Yavapai County (928) 772-1673
TATYANA ERDMANN P.A.
Physician Assistant
12075 E STATE ROUTE 69 STE B
DEWEY, AZ 86327
Yavapai County (928) 772-1673
LINDSEY M ROBBINS FNP-C
Nurse Practitioner (Family)
12075 E STATE ROUTE 69 STE B
DEWEY, AZ 86327
Yavapai County (928) 772-1673
MIRYAM ROSE KNIGGE PA
Physician Assistant
12075 E STATE ROUTE 69 STE B
DEWEY, AZ 86327
Yavapai County (928) 772-1673
AUSTIN JOHN HARMON PA-C
Physician Assistant
12075 E STATE ROUTE 69 STE B
DEWEY, AZ 86327
Yavapai County (928) 772-1673
ALYSSA WAHLSTROM PA-C
Physician Assistant
12075 E STATE ROUTE 69 STE B
DEWEY, AZ 86327
Yavapai County (928) 772-1673
TANNER DAVIS DNP
Nurse Practitioner (Family)
12075 E STATE ROUTE 69 STE B
DEWEY, AZ 86327
Yavapai County (928) 772-1673

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 Asura Healthcare LLC's NPI number?

The NPI number for Asura Healthcare LLC is 1669991485. It was assigned to this organization in the NPPES registry on September 13, 2017.

Where is Asura Healthcare LLC located?

Asura Healthcare LLC is located at 12075 E State Route 69 Ste B, Dewey, AZ 86327. The listed phone number is (405) 590-8861.

What is Asura Healthcare 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 Asura Healthcare LLC was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.