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FENIX MEDICAL LLC
NPI 1972249019
Clinic/Center - Primary Care in Queen Creek, AZ

Active since May 11, 2022
18477 S 186TH WAY STE 102, QUEEN CREEK, AZ 85142(480) 788-0399 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fenix Medical Llc NPPES

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

FENIX MEDICAL LLC (NPI 1972249019) is a healthcare organization registered as a primary care in Queen Creek, Arizona and active in the NPI registry since May 2022. The organization lists Austin Fair, Owner, as its authorized official.

NPPES Registry Identity

NPI1972249019
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFENIX MEDICAL LLC
Location Address18477 S 186TH WAY STE 102Queen Creek, AZ 85142-9620
Mailing Address18477 S 186th Way Ste 102Queen Creek, AZ 85142-9620 · (480) 788-0399
Phone(480) 788-0399
Organization SubpartNo
Authorized OfficialAustin FairOwner · (480) 788-0399
Enumeration DateMay 11, 2022
NPPES CertifiedMay 11, 2022
✔ NPI 1972249019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
18477 S 186TH WAY STE 102, Queen Creek, AZ 85142
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Other Identifiers 1

Other1N/a

Other Providers at the Same Location NPPES 2

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

MADELINE HOERNER DPT
Physical Therapist
18477 S 186TH WAY STE 102
QUEEN CREEK, AZ 85142
Maricopa County (480) 788-0399
FENIX MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
18477 S 186TH WAY STE 102
QUEEN CREEK, AZ 85142
Maricopa County (480) 750-9391

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 Fenix Medical LLC's NPI number?

The NPI number for Fenix Medical LLC is 1972249019. It was assigned to this organization in the NPPES registry on May 11, 2022.

Where is Fenix Medical LLC located?

Fenix Medical LLC is located at 18477 S 186th Way Ste 102, Queen Creek, AZ 85142. The listed phone number is (480) 788-0399.

What is Fenix Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Fenix Medical LLC was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.