NORTHERN ARIZONA ALLERGY GROUP LLC (NPI# 1922584812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922584812 |
| Entity Type | Organization |
| Organization Name | NORTHERN ARIZONA ALLERGY GROUP LLC |
| Practice Address |
3130 Stillwater Dr Ste B Prescott AZ 86305-7199 |
| Practice Telephone | 9282447540 |
| Practice Fax Number | 9282375090 |
| Mailing Telephone | 9282447540 |
| Mailing Fax Number | 9282375090 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | RAHMAT AFRASIABI (OWNER) |
| Authorized Official Telephone | 9282247540 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
| Street Address |
3130 STILLWATER DR STE B |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-7199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356668644 | Hosea E Brown Md Inc | Allergy & Immunology | 3755 Karicio Ln, Suite 2a, Prescott, AZ 86303-6836 | 2010-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316263031 | Hosea E Brown Md Inc | Allergy & Immunology | 2901 N Stockton Hill Rd, Suite B, Kingman, AZ 86401-4121 | 2010-04-20 |
| 1255473872 | Jodi Leah Rubin | Allergy & Immunology | 9097 E Desert Cove Ave Ste 250, Scottsdale, AZ 85260-6278 | 2007-02-12 |
| 1801821152 | Todd Michael Hrabak | Allergy & Immunology | 5750 W. Thunderbird Rd #g780, Glendale, AZ 85306-4636 | 2006-07-12 |
| 1942268156 | Eddie Leon Gaines | Allergy & Immunology | 42145 N Fairgreen Ct, Anthem, AZ 85086-1066 | 2006-05-04 |
| 1568460616 | Richard George Keightley | Allergy & Immunology | 20940 N Tatum Blvd, Ste 205, Phoenix, AZ 85050-7260 | 2005-07-12 |
| 1730185711 | Uday K. Reddy | Allergy & Immunology | 6970 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5158 | 2005-06-23 |
| 1487274791 | Forkela, LLC | Allergy & Immunology | 2001 N 4th St, Flagstaff, AZ 86004-4227 | 2020-04-17 |
| 1265996102 | Allergy & Immunology Specialists, LLC | Allergy & Immunology | 13575 W Indian School Rd Ste 200, Litchfield Park, AZ 85340-4906 | 2019-01-24 |
| 1144772195 | Julie A Wendt Md Pllc | Allergy & Immunology | 21803 N Scottsdale Rd, Ste 200, Scottsdale, AZ 85255-7438 | 2016-10-25 |
| 1215254503 | Hosea E Brown Md Inc | Allergy & Immunology | 255 W 24th St, Suite 1, Yuma, AZ 85364-8511 | 2010-04-26 |
| 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.