Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Homewood Family Medicine PLLC

Organization Family Medicine Physician · NPI 1144206541

Homewood Family Medicine PLLC is a Family Medicine Physician in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4540 E Baseline Rd #113
Mesa, AZ 85206-4613
Phone: (480) 558-4700
Fax: (480) 558-1936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3268 (AZ)

Record details

NPI number1144206541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Homewood — Owner · (480) 558-4700
NPI enumeratedDecember 16, 2005
Last updated in NPPESOctober 18, 2007
Mailing addressPo Box 1927, Gilbert, AZ 85299-1927

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