Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Homewood Family Medicine PLLC

Organization Family Medicine Physician · NPI 1144206541

Homewood Family Medicine PLLC provides Family Medicine Physician services in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4540 E Baseline Rd #113
Mesa, AZ 85206-4613 Not confirmed with CMS for 18 years — call before visiting
Phone: (480) 558-4700
Fax: (480) 558-1936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3268 (AZ)

Record details

NPI number1144206541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Homewood — Owner · (480) 558-4700
NPI enumeratedDecember 16, 2005
Last updated in NPPESOctober 18, 2007
Mailing addressPo Box 1927, Gilbert, AZ 85299-1927

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