FLAGSTAFF MEDICAL CENTER (NPI# 1689847717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689847717 |
| Entity Type | Organization |
| Organization Name | FLAGSTAFF MEDICAL CENTER |
| Other Organization Name | FMC WLNC |
| Practice Address |
1200 N Beaver St Flagstaff AZ 86001-3118 |
| Mailing Address |
1200 N Beaver St Attn: Managed Care Contracting Flagstaff AZ 86001-3118 |
| Practice Telephone | 9287732546 |
| Practice Fax Number | 9282136292 |
| Mailing Telephone | 9282136543 |
| Mailing Fax Number | 9282143613 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | RONALD F HAASE (NAH CHIEF SYSTEMS OFFICER) |
| Authorized Official Telephone | 9287732059 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLAGSTAFF MEDICAL CENTER |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FMC WLNC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629220009 | Flagstaff Medical Center | Internal Medicine | 1215 N Beaver St Ste 203, Flagstaff, AZ 86001-3126 | 2008-10-16 |
| 1780635078 | Flagstaff Medical Center | General Acute Care Hospital | 1200 N. Beaver St., Flagstaff, AZ 86001-3118 | 2006-05-12 |
| 1003194598 | Flagstaff Medical Center | Surgery | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2011-08-01 |
| 1972814259 | Flagstaff Medical Center | Neurological Surgery | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2010-07-01 |
| 1447499546 | Flagstaff Medical Center | General Acute Care Hospital | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2009-02-12 |
| 1982871067 | Flagstaff Medical Center | Internal Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-05-08 |
| 1316119589 | Flagstaff Medical Center | Internal Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-03-28 |
| 1962674135 | Flagstaff Medical Center | Surgery | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-03-28 |
| 1407028673 | Flagstaff Medical Center | Internal Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-03-28 |
| 1346419009 | Flagstaff Medical Center | Durable Medical Equipment & Medical Supplies | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-02-27 |
| Street Address |
1200 N BEAVER ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241189 | Alvin B Elisco | Internal Medicine | 1200 N Beaver St, Fmc Hospitalists, Flagstaff, AZ 86001-3118 | 2005-08-02 |
| 1285240515 | Amika Noel | Nurse Anesthetist, Certified Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-09-22 |
| 1669084190 | Margaret Grace Mcgough | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-08-17 |
| 1942818398 | Regan Rowson | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-07-21 |
| 1871118984 | Nancy Gloria Flores | Audiologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-06-15 |
| 1679100705 | Kristy Anderson | Occupational Therapist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-26 |
| 1164058087 | Bryan J Ebeling | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-23 |
| 1447808407 | Bryce Aldworth Randall | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-09-03 |
| 1851952162 | Samuel Small | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-26 |
| 1235797283 | Rebecca R Boger | Dietitian, Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-04 |
| 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 | 207QB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978967 | Novellus Health LLC | Family Medicine | 1138 N Oro Vis, Litchfield Park, AZ 85340-4548 | 2020-06-30 |
| 1093978207 | Milton Wright Do Plc | Family Medicine | 13825 N 7th St., Suite A, Phoenix, AZ 85022 | 2008-07-08 |
| 1164931754 | Take Back Your Life Weight Loss Solutions, LLC | Family Medicine | 6005 S 36th St, Phoenix, AZ 85042-4901 | 2017-09-26 |
| 1376925602 | Glendale Weightloss LLC | Family Medicine | 5310 W Thunderbird Rd, Ste 308, Glendale, AZ 85306-4706 | 2015-06-23 |
| 1467763698 | Arizona Bariatric and Family Medicine Plc | Family Medicine | 2152 S Vineyard, Suite 102, Mesa, AZ 85210-6871 | 2010-06-22 |
| 1982838264 | Robert J Goodrich | Family Medicine | 1930 Mesquite Ave Ste 2, Lake Havasu City, AZ 86403-5772 | 2009-05-14 |
| 1528256419 | Medicorp, Inc. | Family Medicine | 5225 S Highway 95, Suite 5, Fort Mohave, AZ 86426-9111 | 2007-10-04 |
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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.