CHRISTOPHER MICHAEL DIEFENBACH (NPI# 1437440070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437440070 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER MICHAEL DIEFENBACH |
| Credential | MD |
| Practice Address |
107 E Oak Ave Flagstaff AZ 86001 |
| Mailing Address |
1200 N Beaver St Flagstaff AZ 86001-3118 |
| Practice Telephone | 9287797880 |
| Practice Fax Number | 9289138801 |
| Mailing Telephone | 9282136235 |
| Mailing Fax Number | 9282136292 |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 53879 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
53879 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 13767358 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1485 N Turquoise Dr Ste 200, Flagstaff, AZ 860012000 | (928) 774-7757 | 9287747767 |
| Street Address |
107 E OAK AVE |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931702 | Jon R Shereck | Orthopaedic Surgery | 107 E Oak Ave, Flagstaff, AZ 86001 | 2005-08-31 |
| 1013546340 | Zachary Scott Hinger | Orthopaedic Surgery | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2020-04-08 |
| 1548746928 | Sarah Wyard | Nurse Practitioner | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2018-07-18 |
| 1255799789 | Iris Maczura | Nurse Practitioner | 107 E Oak Ave, Suite 201, Flagstaff, AZ 86001-1818 | 2016-01-28 |
| 1568870988 | Megan Marie Alatorre | Physician Assistant | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2014-07-29 |
| 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 |
| 1104260421 | Northern Arizona Healthcare Provider Group, LLC | Clinical Neuropsychologist | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2013-04-18 |
| 1801133566 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2013-01-14 |
| 1508119348 | Northern Arizona Healthcare Provider Group, LLC | Psychiatry & Neurology | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2012-10-17 |
| Find all providers in the same location | ||||
| 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 | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598797318 | Domingo Cheleuitte | Orthopaedic Surgery | 5301 E Grant Rd Bldg 1, Tucson, AZ 85712-2805 | 2006-07-06 |
| 1932189057 | John A Nassar | Orthopaedic Surgery | 8205 N. Via De Negocio Dr., Scottsdale, AZ 85258-2312 | 2006-01-17 |
| 1558365940 | Robert Allen Kaye | Orthopaedic Surgery | 1501 W 24th St, Suite C, Yuma, AZ 85364-6370 | 2005-06-13 |
| 1972046571 | Bisdak Ankle Foot | Orthopaedic Surgery | 1743 W Sienna Bouquet Pl, Phoenix, AZ 85085-8040 | 2016-11-30 |
| 1619252566 | Peter W. Mitchell, M.d.,p.c. | Orthopaedic Surgery | 2222 E Highland Ave, Suite 425, Phoenix, AZ 85016-4872 | 2011-10-11 |
| 1699063743 | Evan Nicholas Simonson | Orthopaedic Surgery | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2011-07-11 |
| 1609195957 | David Eric Jaffe | Orthopaedic Surgery | 5620 E Bell Rd, Scottsdale, AZ 85254-5950 | 2010-05-26 |
| 1063642304 | Arizona Orthopaedic Foot & Ankle Center, LLC | Orthopaedic Surgery | 20201 N Scottsdale Healthcare Dr, Ste 280, Scottsdale, AZ 85255-4134 | 2009-07-21 |
| 1093919631 | Barrett Foot & Ankle Center Phoenix LLC | Orthopaedic Surgery | 9377 E Bell Rd, Suite 131, Scottsdale, AZ 85260-1502 | 2007-06-14 |
| 1386854925 | Judah D Pifer | Orthopaedic Surgery | 3655 Crossings Dr, Prescott, AZ 86305-7101 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHRISTOPHER MICHAEL DIEFENBACH.
| 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.