NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP, LLC (NPI# 1396004800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396004800 |
| Entity Type | Organization |
| Organization Name | NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP, LLC |
| Other Organization Name | HOSPITALISTS |
| Practice Address |
1200 North Beaver Street Flagstaff AZ 86001-3118 |
| Mailing Address |
1200 North Beaver Street Attn: Managed Care Contracting Flagstaff AZ 86001-3118 |
| Practice Telephone | 9282132920 |
| Practice Fax Number | 9282142925 |
| Mailing Telephone | 9282136543 |
| Mailing Fax Number | 9282143613 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2019-04-16 |
| Authorized Official Name | RONALD F HAASE (NAH CHIEF SYSTEMS OFFICER) |
| Authorized Official Telephone | 9287732059 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN ARIZONA HEALTHCARE, CORP. |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Hospitalists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417384371 | Northern Arizona Healthcare Provider Group, LLC | Optometrist | 1298 W Finnie Flat Rd # 101, Camp Verde, AZ 86322-5958 | 2013-10-08 |
| 1851659817 | Northern Arizona Healthcare Provider Group, LLC | Surgery | 199 South Candy Lane, Cottonwood, AZ 86326-4183 | 2012-04-27 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1386099869 | Northern Arizona Healthcare Provider Group, LLC | Anesthesiology | 1200 N. Beaver Street, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118 | 2016-05-03 |
| 1295121903 | Northern Arizona Healthcare Provider Group, LLC | Obstetrics & Gynecology | 269 South Candy Lane, Flagstaff, AZ 86326 | 2015-04-09 |
| 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 |
| 1265846968 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 294 W State Route 89a, Cottonwood, AZ 86326-3754 | 2014-06-20 |
| 1740694470 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2014-06-20 |
| 1003230830 | Northern Arizona Healthcare Provider Group, LLC | Psychologist | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2014-02-14 |
| Street Address |
1200 NORTH BEAVER STREET |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366598054 | William Wilson | Emergency Medicine | 1200 North Beaver Street, Flagstaff, AZ 86001 | 2007-01-26 |
| 1790977825 | Marc Andrew Zuch | Counselor | 1200 North Beaver Street, Flagstaff, AZ 86001 | 2007-08-13 |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891149043 | Audrey Lee | Hospitalist | 1200 N Beaver St, Flagstaff, AZ 86001 | 2016-04-13 |
| 1780987073 | Marian Lacy | Hospitalist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2010-12-08 |
| 1790959393 | Arizona Independent Medical Associates, Pllc | Hospitalist | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 | 2008-04-15 |
| 1730358789 | Jack Ce Ji | Hospitalist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-02-25 |
| 1255518163 | Flagstaff Medical Center | Hospitalist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-01-23 |
| 1740311612 | Flagstaff Medical Center | Hospitalist | 1200 N. Beaver St., Flagstaff, AZ 86001-3118 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679051171 | Supai LLC | Hospitalist | 13350 N 94th Dr Ste A101, Peoria, AZ 85381-4826 | 2018-08-06 |
| 1033622626 | Agave Medical Group Pllc | Hospitalist | 1301 S. Crimaon Rd, Mesa, AZ 85209-2737 | 2017-11-06 |
| 1356853691 | Leading Health Care, Pllc | Hospitalist | 22922 N 40th Pl, Phoenix, AZ 85050-8742 | 2017-10-26 |
| 1124530647 | Arizona Primary Care Associates LLC | Hospitalist | 130 S 63rd St Ste 120, Mesa, AZ 85206-1604 | 2017-10-25 |
| 1811421852 | Alex Shen | Hospitalist | 4426 W Oraibi Dr, Glendale, AZ 85308-7320 | 2017-04-17 |
| 1154860674 | Arizona Acute Medical Services 1 PC | Hospitalist | 5750 E Baseline Rd, Mesa, AZ 85206-4806 | 2017-02-16 |
| 1942749619 | Bh Hospital Specialists, LLC | Hospitalist | 25437 N Moon Blossum Ln, Phoenix, AZ 85083-1676 | 2017-02-14 |
| 1851746440 | Jonmark Moorington | Hospitalist | 1919 E Thomas Rd., Phoenix Children's Hospital, Phoenix, AZ 85016 | 2016-05-02 |
| 1629432190 | Mina Albadri | Hospitalist | 350 W Thomas Rd Ste 900a, Phoenix, AZ 85013-4409 | 2016-04-11 |
| 1396117933 | Jr Healthcare Consultants LLC | Hospitalist | 807 W Colter St Apt 88, Phoenix, AZ 85013-2296 | 2015-10-22 |
| Find all providers with the same taxonomy | ||||
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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.