NORTHERN ARIZONA MEDICAL GROUP, PLLC (NPI# 1770743965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770743965 |
| Entity Type | Organization |
| Organization Name | NORTHERN ARIZONA MEDICAL GROUP, PLLC |
| Practice Address |
3879 N Painted Trl Kingman AZ 86409-1244 |
| Practice Telephone | 9285500062 |
| Practice Fax Number | 9287534655 |
| Mailing Telephone | 9285500062 |
| Mailing Fax Number | 9287534655 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | DR. ZAFFAR IQBAL (OWNER MD) |
| Authorized Official Telephone | 9285500062 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 32218 | AZ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073748 | Northern Arizona Medical Group, Pllc | Clinical Medical Laboratory | 3555 Western Ave, Kingman, AZ 86409-3291 | 2020-11-04 |
| 1699159111 | Northern Arizona Medical Group, Pllc | Clinic/Center | 3555 Western Ave, Kingman, AZ 86409-3011 | 2015-07-14 |
| Street Address |
3879 N PAINTED TRL |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790948495 | Northern Arizona Medical Group Pllc | Internal Medicine | 3879 N Painted Trl, Kingman, AZ 86409-1244 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420698 | Doug S Clouse Md Plc | Specialist | 3636 N Stockton Hill Rd Ste 3, Kingman, AZ 86409-0514 | 2020-05-29 |
| 1194133868 | Joseph John Poschner | Specialist | 4037 Canyon Hills Dr, Kingman, AZ 86409-6934 | 2014-07-25 |
| 1316263080 | Minette Nance Doss | Specialist | 602 N 3rd St, Kingman, AZ 86401-5606 | 2010-04-20 |
| 1477676351 | Waldemar Klimach | Specialist | 3675 Cheyenne Ave, Kingman, AZ 86401-6519 | 2007-04-07 |
| 1295755759 | Ilangovan Govindarajan | Specialist | 975 Sycamore Ave, Kingman, AZ 86409-3548 | 2006-07-20 |
| 1619934155 | Carol Newmyer | Specialist | 1815 N Stockton Hill Rd, Kingman, AZ 86401-4667 | 2006-04-27 |
| 1598758351 | Marc L Miller | Specialist | 3801 Santa Rosa Dr Ste 301, Kingman, AZ 86401-2311 | 2005-08-26 |
| 1417289810 | Hualapai Mountain Medical Profees, LLC | Specialist | 3801 Santa Rosa, Kingman, AZ 86401-2311 | 2010-02-10 |
| 1184823320 | Neurological & Headache Disorders PC | Specialist | 1708 Sycamore Ave, Kingman, AZ 86409-0927 | 2007-07-17 |
| 1205042223 | Kingman Neurology | Specialist | 1730 E Beverly Ave, Kingman, AZ 86409-3500 | 2007-05-15 |
| Find all providers in KINGMAN | ||||
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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.