Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pinetop Primary Palliative Care PLLC

Organization Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1538740592

Pinetop Primary Palliative Care PLLC provides Hospice and Palliative Medicine (Internal Medicine) Physician services in Lakeside, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

300 W White Mountain Blvd
Lakeside, AZ 85929-7014
Phone: (928) 367-1077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X

Record details

NPI number1538740592
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele McCormick — Owner · (928) 367-1077
NPI enumeratedApril 20, 2021
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing addressPo Box 888, Lakeside, AZ 85929-0888