DR. GLEN D. AUSTIN (NPI# 1528155082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528155082 |
| Entity Type | Individual |
| Full Name | DR. GLEN D. AUSTIN |
| Credential | D.O. |
| Practice Address |
1501 S Yale St Ste# 252 Flagstaff AZ 86001-7304 |
| Practice Telephone | 9287741811 |
| Practice Fax Number | 9287742001 |
| Mailing Telephone | 9287741811 |
| Mailing Fax Number | 9287742001 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4261 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 973108 | 05 |
| Street Address |
1501 S YALE ST STE# 252 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-7304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811068 | Christine Crowder | General Practice | 1501 S Yale St, Bldg 2 Suite 150, Flagstaff, AZ 86001-7304 | 2005-06-16 |
| 1669911764 | North Country Healthcare, Inc. | Pediatrics | 1501 S Yale St, Ste 252, Flagstaff, AZ 86001-7304 | 2017-02-22 |
| 1174074991 | Elysia Small | Physician Assistant | 1501 S Yale St, Building 2 Suite 150, Flagstaff, AZ 86001-7304 | 2016-10-17 |
| 1578910295 | Munderloh Medical LLC | Chiropractor | 1501 S Yale St, 250, Flagstaff, AZ 86001-7304 | 2016-05-23 |
| 1518309350 | Jeremy K Burdick | Nurse Practitioner | 1501 S Yale St, 252, Flagstaff, AZ 86001-7304 | 2013-07-22 |
| 1326393927 | Proforma Health Pllc | Chiropractor | 1501 S Yale St, Suite 250, Flagstaff, AZ 86001-7304 | 2012-07-19 |
| 1235371493 | Travis Clark Stiegler | Psychiatry & Neurology | 1501 S Yale St, Ste 250, Flagstaff, AZ 86001-7304 | 2009-04-01 |
| 1891825022 | Michelle Doroz | Family Medicine | 1501 S Yale St, Bldg 2 Suite 150, Flagstaff, AZ 86001-7304 | 2007-03-06 |
| 1417082553 | Theresa Dowell | Physical Therapist | 1501 S Yale St, Ste# 252, Flagstaff, AZ 86001-7304 | 2007-02-22 |
| 1447397336 | Retail Automation Usa LLC | Chiropractor | 1501 S Yale St, Suite 250, Flagstaff, AZ 86001-7304 | 2007-01-31 |
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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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538505235 | Norina Danielle Witt | Pediatrics | 1501 S Yale St Ste 252, Flagstaff, AZ 86001-7336 | 2013-05-21 |
| 1831317817 | David Allen Spence | Pediatrics | 8610 Arroyo Trl, Flagstaff, AZ 86004-1294 | 2007-04-23 |
| 1366562944 | Mountain View Pediatrics | Pediatrics | 77 W Forest Ave Ste 304, Flagstaff, AZ 86001-1481 | 2007-03-29 |
| 1669911764 | North Country Healthcare, Inc. | Pediatrics | 1501 S Yale St, Ste 252, Flagstaff, AZ 86001-7304 | 2017-02-22 |
| 1639564453 | Mary Elizabeth Smith Iles | Pediatrics | 77 W Forest Ave, Flagstaff, AZ 86001 | 2015-03-30 |
| 1669815825 | Lauren Diane Hayward | Pediatrics | 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001-1479 | 2013-04-08 |
| 1649539677 | Northern Arizona Healthcare Provider Group, LLC | Pediatrics | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2012-05-11 |
| 1699926048 | April C Alvarez-corona | Pediatrics | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2008-10-03 |
| 1154595411 | Mark F Carroll | Pediatrics | 1215 N Beaver St, Suite 201, Flagstaff, AZ 86001-3126 | 2008-04-17 |
| 1174716526 | Julia Beth Eskuchen | Pediatrics | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2007-08-20 |
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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.