Provider Demographics
NPI:1669149787
Name:HEALTHYU FAMILY MEDICINE, LLC
Entity type:Organization
Organization Name:HEALTHYU FAMILY MEDICINE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:SPEIRS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-495-5485
Mailing Address - Street 1:501 N 44TH ST STE 450
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-6526
Mailing Address - Country:US
Mailing Address - Phone:602-491-0701
Mailing Address - Fax:480-631-0581
Practice Address - Street 1:840 E MCKELLIPS RD STE 107
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-9654
Practice Address - Country:US
Practice Address - Phone:602-491-0703
Practice Address - Fax:833-429-2070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty