FLAGSTAFF SURGICAL ASSOCIATES PA (NPI# 1114995271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114995271 |
Entity Type | Organization |
Organization Name | FLAGSTAFF SURGICAL ASSOCIATES PA |
Practice Address |
77 W Forest Ave Ste 201 Flagstaff AZ 86001-1483 |
Mailing Address |
Po Box 31210 Flagstaff AZ 86003-1210 |
Practice Telephone | 9287732222 |
Practice Fax Number | 9287732598 |
Mailing Telephone | 9287732222 |
Mailing Fax Number | 9287732598 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2020-04-06 |
Authorized Official Name | KIMBERLY VALENZUELA (BUSINESS OFFICE MANAGER) |
Authorized Official Telephone | 9287732222 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
77 W Forest Ave Ste 212, Flagstaff, AZ 860011481 | 9287732222 | 9287732598 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720508138 | Flagstaff Surgical Associates Pa | Nurse Practitioner | 77 W Forest Avenue, Suite 107, Flagstaff, AZ 86001-1483 | 2017-06-27 |
Street Address |
77 W FOREST AVE STE 201 |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86001-1483 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881143386 | Arianne C Hyder | Physician Assistant | 77 W Forest Ave Ste 201, Flagstaff, AZ 86001-1483 | 2016-09-25 |
1689982944 | Erin Marie Enlow | Physician Assistant | 77 W Forest Ave Ste 201, Flagstaff, AZ 86001-1483 | 2010-09-21 |
1164685749 | Kristina W Bermas | Surgery | 77 W Forest Ave Ste 201, Flagstaff, AZ 86001-1483 | 2008-07-03 |
1265692982 | Kate Preston | Surgery | 77 W Forest Ave Ste 201, Flagstaff, AZ 86001-1483 | 2008-06-16 |
1003935479 | William John Badger | Urology | 77 W Forest Ave Ste 201, Flagstaff, AZ 86001-1483 | 2007-03-28 |
1891842761 | Jon Andrew Rumohr | Urology | 77 W Forest Ave Ste 201, Flagstaff, AZ 86001-1483 | 2007-01-04 |
1497724017 | Andrew J Aldridge | Surgery | 77 W Forest Ave Ste 201, Flagstaff, AZ 86001-1483 | 2006-03-16 |
1417926874 | Robert A Berger | Surgery | 77 W Forest Ave Ste 201, Flagstaff, AZ 86001-1483 | 2006-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
Find all providers in zip 86001 |
Taxonomy Code | 2086S0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Critical Care |
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316417801 | Emergency Endoscopy Services LLC | Surgery | 8622 E Wood Dr, Scottsdale, AZ 85260-4119 | 2018-11-28 |
1083851448 | Honorhealth Ambulatory | Surgery | 7351 E Osborn Rd, Suite 200b, Scottsdale, AZ 85251-6451 | 2009-01-07 |
1205095817 | Andrews C Ninan | Surgery | 2601e Roosevelt Street, Maricopa Medical Center, Phoenix, AZ 85008 | 2008-06-09 |
1063538072 | Scottsdale Surgical Specialists LLC | Surgery | 14256 N Northsight Blvd Ste 120, Scottsdale, AZ 85260-3954 | 2007-03-21 |
1437206562 | Nicole P Piscatelli | Surgery | 3141 N 48th St, Phoenix, AZ 85018-6564 | 2007-01-04 |
1154438133 | Michael Corneille | Surgery | 9250 N 3rd Sreet, Suite 3015, Phoenix, AZ 85020-2425 | 2006-08-24 |
1912914870 | John Michael Stein | Surgery | 7301 E 2nd St Ste 310, Scottsdale, AZ 85251-5627 | 2006-08-02 |
1184638264 | Brian J Deguzman | Surgery | 6443 E Chaparral Rd, Paradise Valley, AZ 85253-6923 | 2006-07-27 |
1609898915 | Dennis Edward Weiland | Surgery | 11779 N 114th Way, Scottsdale, AZ 85259-2607 | 2006-07-24 |
1972575504 | Alicia Mangram | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2006-02-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.