DR. EAMONN M MAHONEY (NPI# 1366626756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366626756 |
| Entity Type | Individual |
| Full Name | DR. EAMONN M MAHONEY |
| Credential | M.D. |
| Practice Address |
1485 N Turquoise Dr Suite 200 Flagstaff AZ 86001-1398 |
| Mailing Address |
1485 N Turquoise Dr Ste 200 Flagstaff AZ 86001-1398 |
| Practice Telephone | 9287747757 |
| Practice Fax Number | 9282263071 |
| Mailing Telephone | 9287747757 |
| Mailing Fax Number | 9282263071 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2017-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
52804 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 170672 | 05 |
| Street Address |
1485 N TURQUOISE DR SUITE 200 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454702 | Yuri Lewicky | Orthopaedic Surgery | 1485 N Turquoise Dr, Suite 200, Flagstaff, AZ 86001-1398 | 2005-06-01 |
| 1326500471 | Kathryn Michelle Earhart | Physician Assistant | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2019-04-05 |
| 1114307741 | Amber Kristine Miller | Specialist | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2015-06-09 |
| 1649668781 | Northern Arizona Healthcare Orthopedic Surgery Center, LLC | Clinic/Center | 1485 N Turquoise Dr, Suite 100, Flagstaff, AZ 86001-1398 | 2014-12-23 |
| 1073925939 | Ryan David Guy | Specialist | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2014-05-27 |
| 1457785107 | Emily Wevodau | Physical Therapy Assistant | 1485 N Turquoise Dr, Suite 220, Flagstaff, AZ 86001-1398 | 2013-08-29 |
| 1578996369 | Monika Rochelle Swanson | Specialist | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2013-08-15 |
| 1457610438 | Chad William Norris | Physician Assistant | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2012-05-10 |
| 1952672057 | Chelsie M. Word | Physician Assistant | 1485 N Turquoise Dr, Suite 200, Flagstaff, AZ 86001-1398 | 2012-01-20 |
| 1114155462 | Brian Charles Schmitz | Physical Therapist | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2009-06-25 |
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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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013546340 | Zachary Scott Hinger | Orthopaedic Surgery | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2020-04-08 |
| 1437236270 | Pparinc | Orthopaedic Surgery | 77 W Forest Ave, 301, Flagstaff, AZ 86001-1479 | 2006-11-01 |
| 1487626677 | James Michael Glover | Orthopaedic Surgery | 1485 N Turquoise Dr, Suite 200, Flagstaff, AZ 86001-1398 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891293148 | Joint Replacement Cin of Tucson LLC | Orthopaedic Surgery | 5151 E Broadway Blvd Ste 1600b, Tucson, AZ 85711-3777 | 2018-01-31 |
| 1407354756 | Spine Cin of Tucson LLC | Orthopaedic Surgery | 5151 E Broadway Blvd Ste 1600c, Tucson, AZ 85711-3777 | 2018-01-31 |
| 1508364852 | Spine Cin of Phoenix LLC | Orthopaedic Surgery | 2155 W Pinnacle Peak Rd Ste 201a, Phoenix, AZ 85027-1201 | 2018-01-31 |
| 1447758792 | Joint Replacement Cin of Phoenix LLC | Orthopaedic Surgery | 2155 W Pinnacle Peak Rd Ste 201b, Phoenix, AZ 85027-1201 | 2018-01-31 |
| 1144748468 | Emergency Spine, PC | Orthopaedic Surgery | 3101 E Shea Blvd Ste 114, Phoenix, AZ 85028-3209 | 2017-09-07 |
| 1619311446 | Desert Spine Center A Professional Corporation | Orthopaedic Surgery | 2281 W 24th St Ste 5, Yuma, AZ 85364-6197 | 2013-04-23 |
| 1609168442 | Arizona Spine Center, P.a. | Orthopaedic Surgery | 2155 E Conference Dr Ste 111, Tempe, AZ 85284-2604 | 2011-05-12 |
| 1588846851 | Phoenix Spine Consultants Pllc | Orthopaedic Surgery | 19841 N 27th Ave Ste 300a, Phoenix, AZ 85027-4012 | 2007-11-28 |
| 1093903023 | Katherine S Looby | Orthopaedic Surgery | 1432 S. Dobson Rd, Suite 201, Mesa, AZ 85020 | 2007-10-03 |
| 1154522910 | Michael S Chang | Orthopaedic Surgery | 1462 S. Dobson Road, Suite 201, Mesa, AZ 85202 | 2007-05-30 |
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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.