GREGG P STANDAGE MD (NPI# 1235416918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235416918 |
| Entity Type | Organization |
| Organization Name | GREGG P STANDAGE MD |
| Practice Address |
705 W Hillside Ave Prescott AZ 86301-1938 |
| Mailing Address |
1515 S 20th Ave Safford AZ 85546-4009 |
| Practice Telephone | 9283481374 |
| Practice Fax Number | 9283481375 |
| Mailing Telephone | 9283481374 |
| Mailing Fax Number | 9283481375 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-12-27 |
| Authorized Official Name | DR. GREGG P STANDAGE (MD) |
| Authorized Official Telephone | 9283481374 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 22289 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 356586 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669495537 | Gregg P Standage Md | Specialist | 1515 S 20th Ave, Safford, AZ 85546-4009 | 2006-07-25 |
| Street Address |
705 W HILLSIDE AVE |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| 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 |
|---|---|---|---|---|
| 1255721684 | Ronald Lake II | Specialist | 807 Lizzard Ln, Prescott, AZ 86303-4517 | 2015-01-22 |
| 1962808220 | Karie Mangiardi-hammond | Specialist | 3160 Stillwater Dr, Prescott, AZ 86305-7151 | 2014-11-14 |
| 1649610999 | Cheryl A Rynd | Specialist | 1745 Rustic Timbers Ln, Suite D, Prescott, AZ 86303-4966 | 2013-07-01 |
| 1629416755 | Irene A. Hsieh | Specialist | 1820 Sequoia Dr, Prescott, AZ 86301-1245 | 2013-06-11 |
| 1467694901 | Kim Suzanne Plawchan | Specialist | 522 E. Sheldon St, Prescott, AZ 86301 | 2009-03-30 |
| 1699920207 | Mark Edwin Carli | Specialist | 3108 Clearwater Dr Ste B2, Prescott, AZ 86305-7170 | 2008-11-24 |
| 1922270438 | Karen L Yates Md PC | Specialist | 141 S Mccormick St Ste 108, Prescott, AZ 86303-4730 | 2008-03-25 |
| 1982880142 | Kathleen F Parker | Specialist | 4864 E Diamond Dr, Prescott, AZ 86301-5944 | 2008-01-17 |
| 1548469372 | Ben Eugene Paxton | Specialist | 1000 Ainsworth # 115, Prescott, AZ 86305 | 2007-07-12 |
| 1194949867 | Stuart David Weston | Specialist | 5880 Coriander, Prescott, AZ 86305-3863 | 2007-04-12 |
| Find all providers in PRESCOTT | ||||
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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.