OrganizationActive
Fenix Medical LLC
NPI 1972249019 · Primary Care Clinic/Center · Queen Creek, AZ
Provider details
- NPI number
- 1972249019
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Austin Fair, Owner(480) 788-0399
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
18477 S 186th Way Ste 102
Queen Creek, AZ 85142-9620
Phone: (480) 788-0399
Street-level locationGet directions
Mailing address
18477 S 186th Way Ste 102
Queen Creek, AZ 85142-9620
Registry dates
- Enumerated
- 2022-05-11
- Last updated
- 2022-05-11
- Certified
- 2022-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.