NEUROFIT HEALTH PLLC (NPI# 1558849596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558849596 |
| Entity Type | Organization |
| Organization Name | NEUROFIT HEALTH PLLC |
| Practice Address |
1200 N. Beaver Flagstaff AZ 86001-3118 |
| Mailing Address |
Po Box 1150 Flagstaff AZ 86002-1150 |
| Practice Telephone | 9287791162 |
| Practice Fax Number | 9287791163 |
| Mailing Telephone | 9287791162 |
| Mailing Fax Number | 9287791163 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | MR. AARON PHILIP SHAW (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 9287791162 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
7036 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 N. BEAVER |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084197 | Leon Michael Cattolico | Family Medicine | 1200 N. Beaver, Payer Credentialing, Flagstaff, AZ 86001 | 2005-06-22 |
| 1760744130 | Shannon Rae Heffern | Dietitian, Registered | 1200 N. Beaver, Flagstaff, AZ 86001 | 2012-06-12 |
| 1275792475 | Juanita Louise Marlette | Dietitian, Registered | 1200 N. Beaver, Payer Credentialing, Flagstaff, AZ 86001 | 2008-06-03 |
| 1720169212 | Alvina Y Begay | Dietitian, Registered | 1200 N. Beaver, Flagstaff, AZ 86001 | 2006-10-18 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962857383 | Kimberly J. Sargent Pa-c, Pllc | Physician Assistant | 711 W Aspen Ave, Flagstaff, AZ 86001-5301 | 2016-05-04 |
| 1972990851 | Joel Packard | Physician Assistant | 50 Pine Del Dr, Flagstaff, AZ 86005-9603 | 2015-04-18 |
| 1750349338 | Jennifer Michelle Morris | Physician Assistant | 31 E Conquistador Trl, Flagstaff, AZ 86001-8317 | 2006-05-03 |
| 1558614834 | Gregory A. Cox, Pa-c, Pllc | Physician Assistant | 709 W Birch Ave, Flagstaff, AZ 86001-4417 | 2012-10-24 |
| 1871521690 | Thomas E Anderson | Physician Assistant | 1215 N Beaver St, Suite 203, Flagstaff, AZ 86001-3126 | 2006-06-29 |
| 1881651362 | Robert M Evans | Physician Assistant | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760030647 | Blaine Wesley Price | Physician Assistant | 796 W Jardin Dr, Casa Grande, AZ 85122-6162 | 2019-09-03 |
| 1790347292 | James M Goldhardt | Physician Assistant | 1400 S Dobson Rd Ste A200, Mesa, AZ 85202-4707 | 2019-07-03 |
| 1972166858 | Red Heart Surgical Assisting | Physician Assistant | 43643 W Arizona Ave, Maricopa, AZ 85138-5642 | 2019-04-17 |
| 1053898833 | Sportsmedicine Outreach Specialist | Physician Assistant | 13247 N 80th Pl, Scottsdale, AZ 85260-4903 | 2018-07-24 |
| 1912496712 | Hw Surgical Assist, Pllc | Physician Assistant | 4057 E Laurel Ave, Gilbert, AZ 85234 | 2018-05-07 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| 1366955155 | Jennifer R Osborne | Physician Assistant | 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 | 2017-11-15 |
| 1669985198 | Jacki Nichols | Physician Assistant | 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 | 2017-11-06 |
| 1720597214 | Merieme Khamsi | Physician Assistant | 14674 W Mountain View Blvrd #210, Surprise, AZ 85374 | 2017-09-27 |
| 1801305073 | Panduga Surgical Care, Pllc | Physician Assistant | 4904 S Power Rd Ste 103, Pmb 450, Mesa, AZ 85212-3610 | 2017-09-20 |
| 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.