OrganizationActive
Pinetop Primary Palliative Care PLLC
NPI 1538740592 · Hospice and Palliative Medicine (Internal Medicine) Physician · Lakeside, AZ
Provider details
- NPI number
- 1538740592
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michele Mccormick, Owner(928) 367-1077
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 W White Mountain Blvd
Lakeside, AZ 85929-7014
Phone: (928) 367-1077
Street-level locationGet directions
Mailing address
Po Box 888
Lakeside, AZ 85929-0888
Registry dates
- Enumerated
- 2021-04-20
- Last updated
- 2021-04-20
- Certified
- 2021-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.