Family Medicine
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1184738049 · enumerated 2006-08-18 · record updated 2021-05-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. LAURA TILLMAN MD, CMO · (602) 263-1674
Other names: PIMC PROFESSSIONAL SERVICES
Addresses and phones
- Practice location 4212 N 16TH ST, PHOENIX, AZ, 85016-5319 (602) 263-1200 Fax (602) 263-1618 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 95460, CLEVELAND, OH, 44193-0698 (602) 581-6088 Fax (602) 263-1619 Google Maps Apple Maps OpenStreetMap
Specialties
- Allergy & Immunology 207K00000X
- Anesthesiology 207L00000X
- Dermatology 207N00000X
- Emergency Medicine 207P00000X
- Internal Medicine 207R00000X
- Obstetrics & Gynecology 207V00000X
- Ophthalmology 207W00000X
- Orthopaedic Surgery 207X00000X
- Otolaryngology 207Y00000X
- Pathology, Anatomic Pathology 207ZP0101X
- Pediatrics 208000000X
- Psychiatry & Neurology, Psychiatry 2084P0800X
- Radiology, Diagnostic Radiology 2085R0202X
- Surgery 208600000X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
PHOENIX, AZ, 850165319
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.