Justin M Delange (NPI# 1689923096, PAC ID# 2466693676) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1689923096 |
| PAC ID by PECOS | 2466693676 |
| Professional Enrollment ID | I20141002002634 |
| Full Name | Justin M Delange |
| Organization Legal Name | NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP LLC |
| Address |
107 E Oak Ave Flagstaff AZ 86001-1818 |
| Phone Number | 9282142621 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2009 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 6901055417 |
| Number of Group Practice Members | 232 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030023 | FLAGSTAFF MEDICAL CENTER |
| 030062 | SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 9282142621 | NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP LLC |
| Organization Legal Name | NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP LLC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Jared Taylor | Internal Medicine | Northern Arizona Healthcare Provider Group LLC | 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 |
| Mary Alaynick Watson | Psychiatry | Northern Arizona Healthcare Provider Group LLC | 294 W State Route 89a, Cottonwood, AZ 86326-3763 |
| Lila Ammouri | Internal Medicine | Northern Arizona Healthcare Provider Group LLC | 1215 N Beaver St, Flagstaff, AZ 86001-3126 |
| Nina A Souders | Hospitalist | Northern Arizona Healthcare Provider Group LLC | 1200 N Beaver St, Flagstaff, AZ 86001-3118 |
| Timothy J Bonatus | Orthopedic Surgery | Northern Arizona Healthcare Provider Group LLC | 1200 N Beaver St, Flagstaff, AZ 86001-3118 |
| Erin Engel | Physician Assistant | Northern Arizona Healthcare Provider Group LLC | 1200 N Beaver St, Flagstaff, AZ 86001-3118 |
| Julie Polzin | Nurse Practitioner | Northern Arizona Healthcare Provider Group LLC | 1200 N Beaver St, Flagstaff, AZ 86001-3118 |
| Vincent E Furrey | Family Medicine | Northern Arizona Healthcare Provider Group LLC | 269 S Candy Ln, Cottonwood, AZ 86326-4158 |
| Raymond W Lieber | Physician Assistant | Northern Arizona Healthcare Provider Group LLC | 1200 N Beaver St, Flagstaff, AZ 86001-3118 |
| Brian T Duggan | Orthopedic Surgery | Northern Arizona Healthcare Provider Group LLC | 1200 N Beaver St, Flagstaff, AZ 86001-3118 |
| Street Address |
107 E OAK AVE |
| City | FLAGSTAFF |
| State | AZ |
| Zip | 86001-1818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen L Ritland | Neurosurgery | Northern Arizona Healthcare Corporation | 107 E Oak Ave, Suite 101and201, Flagstaff, AZ 86001-1818 |
| Byron Hutto | Family Medicine | Northern Arizona Healthcare Corporation | 107 E Oak Ave, Suite 101and201, Flagstaff, AZ 86001-1818 |
| Sarah Wyard | Nurse Practitioner | Northern Arizona Healthcare Corporation | 107 E Oak Ave, Suite 101and201, Flagstaff, AZ 86001-1818 |
| Juliana Adjovu | Nurse Practitioner | Northern Arizona Healthcare Provider Group LLC | 107 E Oak Ave, Flagstaff, AZ 86001-1818 |
| Meghan Michelle Hughes | Family Medicine | Northern Arizona Healthcare Corporation | 107 E Oak Ave, Suite 101and201, Flagstaff, AZ 86001-1818 |
| Peter Desmond Gibson | Orthopedic Surgery | Northern Arizona Healthcare Corporation | 107 E Oak Ave, Suite 101and201, Flagstaff, AZ 86001-1818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather K Boyle | Psychiatry | 1515 N San Francisco, Flagstaff, AZ 86001 | |
| Carrie J Monroy | Family Medicine | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Christine M Mcgregor | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Terry Smith | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Stephan Stellmacher | Internal Medicine | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Jessica K Newton | Physician Assistant | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Katherine E Sherman | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Rebecca Le Roy | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Ari D Plosker | Diagnostic Radiology | Steward Medical Group Inc | 2520 N Eddy Dr, Flagstaff, AZ 86001-1000 |
| Teresa A Dunn | Clinical Social Worker | 21 W Pine Ave, Flagstaff, AZ 86001-1338 | |
| Find all physicians in zip 86001 | |||
| City | FLAGSTAFF |
| Zip Code | 86001 |
| Specialty | NEUROLOGY |
| City + Specialty | FLAGSTAFF + NEUROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.