ASPEN SURGICAL, INC. (NPI# 1134328362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134328362 |
| Entity Type | Organization |
| Organization Name | ASPEN SURGICAL, INC. |
| Practice Address |
77 W Forest Ave Suite 305 Flagstaff AZ 86001-1479 |
| Mailing Address |
Po Box 10517 Scottsdale AZ 85271-0517 |
| Practice Telephone | 4802298068 |
| Mailing Telephone | 4802298068 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2008-01-17 |
| Authorized Official Name | DR. JERRY DEAN MOHR (PRESIDENT) |
| Authorized Official Telephone | 4802298068 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
77 W FOREST AVE SUITE 305 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-1479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133059 | Gretchen Karr Schaber | Nurse Practitioner | 77 W Forest Ave, Ste 302, Flagstaff, AZ 86001-1481 | 2005-06-09 |
| 1740728088 | Susan Dale Wall | Social Worker | 77 W Forest Ave, Suite 202, Flagstaff, AZ 86001-1479 | 2017-02-07 |
| 1326408527 | Taye Nelson | Nurse Practitioner | 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001-1479 | 2016-03-01 |
| 1639564453 | Mary Elizabeth Smith Iles | Pediatrics | 77 W Forest Ave, Flagstaff, AZ 86001 | 2015-03-30 |
| 1174914915 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 77 W Forest Ave, Flagstaff, AZ 86001-1479 | 2015-02-16 |
| 1699182188 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 77 W Forest Ave, Flagstaff, AZ 86001-1479 | 2014-07-16 |
| 1033538533 | Neina Orrillo | Registered Nurse | 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 | 2014-04-11 |
| 1720424997 | Meredith Katz Sena | Specialist | 77 W Forest Ave, Ste 301, Flagstaff, AZ 86001-1479 | 2013-05-15 |
| 1669815825 | Lauren Diane Hayward | Pediatrics | 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001-1479 | 2013-04-08 |
| 1548510019 | Mark Daniel Noorlander | Nurse Anesthetist, Certified Registered | 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001-1479 | 2012-09-12 |
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| 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 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639437619 | Jayece R. Laudner | Specialist | 1485 N. Turquoise Dr., Suite 220, Flagstaff, AZ 86001 | 2012-04-27 |
| 1306145859 | Alexander Hu | Specialist | 399 S Malpais Ln, Flagstaff, AZ 86001-6218 | 2011-03-23 |
| 1932427077 | Amy Horn | Specialist | 408 N Kendrick St Ste 1, Flagstaff, AZ 86001-1582 | 2010-05-13 |
| 1053550061 | Douglas Crabbe | Specialist | 240 Buffalo Trl, Flagstaff, AZ 86001-9512 | 2009-02-13 |
| 1669617270 | Perring Medical Services, PC | Specialist | 813 N Beaver St, Flagstaff, AZ 86001-3105 | 2008-12-10 |
| 1386825339 | B. Cody Wright Md PC | Specialist | 121 E Birch Ave Ste 503, Flagstaff, AZ 86001-4621 | 2007-11-19 |
| 1770762841 | Cardiac & Peripheral Vascular Specials of Northern Arizona | Specialist | 1515 E Cedar Ave Ste D-2, Flagstaff, AZ 86004-1638 | 2007-10-25 |
| 1679794259 | David G Mueller | Specialist | 5100 W. Kiltie Lane, Flagstaff, AZ 86001 | 2007-05-01 |
| 1073631388 | Karen Deborah Furr | Specialist | 8353 Jupiter Ln, Flagstaff, AZ 86004-1394 | 2007-03-26 |
| 1285784082 | Seaside Sanctuary Clinic LLC | Specialist | 2401 W Route 66, #24, Flagstaff, AZ 86001-8761 | 2007-01-12 |
| Find all providers in FLAGSTAFF | ||||
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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.