FLAGSTAFF MEDICAL CENTER (NPI# 1902075567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902075567 |
| Entity Type | Organization |
| Organization Name | FLAGSTAFF MEDICAL CENTER |
| Other Organization Name | FMC PSYCHIATRY CLINIC |
| 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 | 9282136415 |
| Mailing Telephone | 9282136543 |
| Mailing Fax Number | 9282143613 |
| Enumeration Date | 2008-02-27 |
| 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 |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
HO169 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FMC Psychiatry Clinic | 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 |
| 1689847717 | Flagstaff Medical Center | Family Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-04-09 |
| 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 |
| Street Address |
1200 N. BEAVER ST. |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780635078 | Flagstaff Medical Center | General Acute Care Hospital | 1200 N. Beaver St., Flagstaff, AZ 86001-3118 | 2006-05-12 |
| 1740311612 | Flagstaff Medical Center | Hospitalist | 1200 N. Beaver St., Flagstaff, AZ 86001-3118 | 2007-03-09 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215147202 | Peter M Weiser | Psychiatry & Neurology | 9000 Arroyo Trl, Flagstaff, AZ 86004-6272 | 2007-05-22 |
| 1629122510 | Mary Ellen Coy | Psychiatry & Neurology | 405 N Beaver St, Ste. 3, Flagstaff, AZ 86001-4500 | 2007-01-22 |
| 1245312651 | William Nelson Sheehan | Psychiatry & Neurology | 1515 N. San Francisco St., Flagstaff, AZ 86001-1435 | 2006-10-19 |
| 1447220207 | Valerie D Guernsey | Psychiatry & Neurology | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2006-01-25 |
| 1811971187 | Elizabeth J Caspian | Psychiatry & Neurology | 2380 N. Oakmont Drive, Flagstaff, AZ 86004 | 2005-12-01 |
| 1588654552 | Abigail Dorothy Isakson | Psychiatry & Neurology | 125 E Elm Ave Ste 101, Flagstaff, AZ 86001-3258 | 2005-10-21 |
| 1104814524 | Sara Faith Gibson | Psychiatry & Neurology | 1300 S Yale St, Flagstaff, AZ 86001-6328 | 2005-10-10 |
| 1194728451 | B Cody Wright | Psychiatry & Neurology | 1515 N San Francisco St, Flagstaff, AZ 86001-1435 | 2005-05-31 |
| 1881021012 | Boyle Health Services, Pllc | Psychiatry & Neurology | 1515 N San Francisco St, Flagstaff, AZ 86001-1435 | 2013-10-02 |
| 1417216276 | Kara Lee Larsen | Psychiatry & Neurology | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2012-05-14 |
| Find all providers in FLAGSTAFF | ||||
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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.