MULTISPECIALTY GROUP OF FLAGSTAFF (NPI# 1366857815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366857815 |
Entity Type | Organization |
Organization Name | MULTISPECIALTY GROUP OF FLAGSTAFF |
Practice Address |
2155 E Conference Dr Tempe AZ 85284-2604 |
Mailing Address |
Po Box 14367 Scottsdale AZ 85267-4367 |
Practice Telephone | 6024328813 |
Practice Fax Number | 8889798104 |
Mailing Telephone | 3184244008 |
Mailing Fax Number | 3184246606 |
Enumeration Date | 2014-06-24 |
Last Update Date | 2014-06-24 |
Authorized Official Name | DR. DAVID K TOWNS (MANAGING DIRECTOR) |
Authorized Official Telephone | 6024328813 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
2155 E CONFERENCE DR |
City | TEMPE |
State | AZ |
Zip Code | 85284-2604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720083462 | Avella of Chandler, Inc | Pharmacy | 2155 E Conference Dr, Ste 101, Tempe, AZ 85284-2604 | 2005-06-17 |
1205208865 | Advanced Diagnostic & Surgical Recovery Institute, LLC | Clinic/Center | 2155 E Conference Dr, Suite 110, Tempe, AZ 85284-2604 | 2015-10-22 |
1851706451 | Atlantis Foot and Ankle Specialists, Pllc | Internal Medicine | 2155 E Conference Dr, Tempe, AZ 85284-2604 | 2014-06-23 |
1285064733 | Atlantis Multispecialty Group of Arizona I LLC | Pain Medicine | 2155 E Conference Dr, Tempe, AZ 85284-2604 | 2013-11-20 |
1942630496 | Atlantis Dc Post of Arizona LLC | Anesthesiology | 2155 E Conference Dr, Tempe, AZ 85284-2604 | 2013-11-20 |
1629408257 | Atlantis Multispecialty Group Az Pllc | Anesthesiology | 2155 E Conference Dr, Tempe, AZ 85284-2604 | 2013-11-18 |
1932481736 | Kristina Bauer | Physician Assistant | 2155 E Conference Dr, Suite 115, Tempe, AZ 85284-2604 | 2011-09-16 |
1144465410 | Doctors Outpatient Surgical Center | Clinic/Center | 2155 E Conference Dr, Suite 111, Tempe, AZ 85284-2604 | 2008-12-15 |
1851556393 | Tamara Louise Evans | Nurse Practitioner | 2155 E Conference Dr, Suite 115, Tempe, AZ 85284-2604 | 2008-07-24 |
1821252859 | Fertility Treatment Center | Clinic/Center | 2155 E Conference Dr, Tempe, AZ 85284-2604 | 2008-07-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275187726 | Satbir Khara | Dentist | 2010 E. Elliot Rd. Suite 105, Tempe, AZ 85284 | 2019-08-01 |
1093287187 | Tawnie C Caracci | Registered Nurse | 1437 W. Auto Drive, Tempe, AZ 85284 | 2018-12-30 |
1932695947 | Angels of Mercy Attendant Care LLC | In Home Supportive Care | 130 W Freda Rd, Tempe, AZ 85284 | 2018-07-03 |
1487169009 | Restorative Healing and Counseling Center LLC | Clinic/Center | 9855 S. Priest Drive, Suite 102, Tempe, AZ 85284 | 2017-12-05 |
1366964934 | Devoted Guardians Home Health LLC | Home Health | 1705 West Ruby Drive, #107, Tempe, AZ 85284 | 2017-07-14 |
1982134565 | Otilia Elizabeth Herrera Jaimes | Specialist/Technologist | 315 W. Elliot Road #107-250, Tempe, AZ 85284 | 2017-06-15 |
1982142873 | Tempe Outpatient Treatment Center LLC | Clinic/Center | 1001 E Warner Rd Ste 103, Tempe, AZ 85284 | 2017-02-10 |
1386180560 | Jenna Bernal | Registered Nurse | 931 E Elliot Rd Ste 115, Tempe, AZ 85284 | 2017-01-12 |
1780084533 | Mirvat Farah | Specialist/Technologist | 341 W El Freda Rd, Tempe, AZ 85284 | 2014-08-29 |
1245661503 | Janine L Roberts | Registered Nurse | 2033 E Warner Rd #109, Tempe, AZ 85284 | 2013-12-11 |
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Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225451594 | Arizona Pain Management, Plc | Anesthesiology | 422 E Southern Ave, Tempe, AZ 85282-5214 | 2014-01-22 |
1104322023 | Omega Medical & Pain Management, Pllc | Anesthesiology | 4515 S Mcclintock Dr Ste 114, Tempe, AZ 85282-7381 | 2018-03-30 |
1831560176 | Camelback Anesthesia Pllc | Anesthesiology | 2421 E Southern Ave, Ste 1, Tempe, AZ 85282-7612 | 2015-10-13 |
1215226287 | David Bruce Delatte | Anesthesiology | 1976 E Baseline Rd, Suite 102, Tempe, AZ 85283-1533 | 2011-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679923 | Advanced Spine and Pain LLC | Anesthesiology | 4566 E Inverness Ave Ste 205, Mesa, AZ 85206-4634 | 2020-11-03 |
1104449628 | The Pain Institute of Southern Arizona PC | Anesthesiology | 2241 W 16th Street, Safford, AZ 85546 | 2020-05-19 |
1043832223 | Desert Anesthesia Specialists LLC | Anesthesiology | 8865 E Bell Rd Ste 101, Scottsdale, AZ 85260-1594 | 2020-05-11 |
1841811106 | Bcg Anesthesia Pllc | Anesthesiology | 12955 N 145th Ave, Surprise, AZ 85379-4487 | 2020-04-28 |
1891344958 | Orion Pain Corp | Anesthesiology | 16700 N Thompson Peak Pkwy Ste 170, Scottsdale, AZ 85260-2386 | 2019-09-10 |
1558826438 | Agave Anesthesia LLC | Anesthesiology | 5533 E Bell Rd Ste 111, Scottsdale, AZ 85254-1256 | 2019-02-05 |
1083179014 | Hope Clinic of Integrative Medicine, LLC | Anesthesiology | 208 W Chandler Heights Rd # 101, Chandler, AZ 85248-5065 | 2019-02-04 |
1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
1164916953 | Orion Pain Physicians Pllc | Anesthesiology | 10133 N 92nd St., Suite 102, Scottsdale, AZ 85258-4805 | 2018-06-15 |
1538661822 | Anesthesia Solution of Arizona, LLC | Anesthesiology | 1450 W Guadalupe Rd Ste 124, Gilbert, AZ 85233-3056 | 2018-03-02 |
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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.