Healthcare Provider Details

I. General information

NPI: 1740400183
Provider Name (Legal Business Name): CAREFREE FAMILY MEDICINE,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 01/14/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 E PINNACLE PEAK RD STE D6
SCOTTSDALE AZ
85255-3647
US

IV. Provider business mailing address

PO BOX 2892
CAREFREE AZ
85377-2892
US

V. Phone/Fax

Practice location:
  • Phone: 480-488-0575
  • Fax: 480-374-5253
Mailing address:
  • Phone: 480-488-0575
  • Fax: 480-488-7496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAZ23364
License Number StateAZ

VIII. Authorized Official

Name: JUDITH A INGALLS
Title or Position: MEDICAL DOCTOR /OWNER
Credential: MD
Phone: 480-488-0575