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

Ponderosa Family Care, LLC

Organization Internal Medicine Physician · NPI 1144535626

Ponderosa Family Care, LLC is an Internal Medicine Physician in Payson, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

806 S Ponderosa St
Payson, AZ 85541-5541
Phone: (928) 468-8603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 29337 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence 29337 (AZ)

Record details

NPI number1144535626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Michels — Physician · (928) 468-8603
NPI enumeratedAugust 9, 2010
Last updated in NPPESDecember 5, 2014
Mailing addressPo Box 2901, Payson, AZ 85547-2901

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