DR. MICHAEL ANGELO TRUJILLO (NPI# 1467417824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467417824 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ANGELO TRUJILLO |
| Credential | M.D. |
| Practice Address |
77 W Forest Ave Ste 210 Flagstaff AZ 86001-1479 |
| Practice Telephone | 9287732547 |
| Practice Fax Number | 9287732548 |
| Mailing Telephone | 9287732547 |
| Mailing Fax Number | 9287732548 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
19201 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 298572 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336501444 | Michael Trujillo | Hearing Instrument Specialist | 2032 Pepper Ln, Pueblo, CO 81005-3278 | 2016-03-28 |
| 1760632061 | Michael H Trujillo | Preventive Medicine | 5400 Gibson Blvd., Se, Abq Health Partners, Albuquerque, NM 87108 | 2008-09-23 |
| 1285249060 | Michael Anthony Trujillo | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-09-09 |
| 1093370371 | Michael Anthony Trujillo | Behavioral Analyst | 538 S Gilbert Rd Ste 101, Gilbert, AZ 85296-2270 | 2019-05-02 |
| 1407318348 | Michael James Trujillo | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Fontana, CA 92335 | 2019-04-01 |
| 1003370073 | Michael Andrew Trujillo | Counselor | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2019-01-24 |
| 1093297491 | Michael Trujillo | Massage Therapist | 1399 S Winchester Blvd Ste 140, San Jose, CA 95128-4342 | 2018-08-31 |
| 1447317243 | Michael E Trujillo | Specialist/Technologist, Other | 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411 | 2007-01-02 |
| Street Address |
77 W FOREST AVE STE 210 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-1479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133059 | Gretchen Karr Schaber | Nurse Practitioner | 77 W Forest Ave, Ste 302, Flagstaff, AZ 86001-1481 | 2005-06-09 |
| 1740728088 | Susan Dale Wall | Social Worker | 77 W Forest Ave, Suite 202, Flagstaff, AZ 86001-1479 | 2017-02-07 |
| 1326408527 | Taye Nelson | Nurse Practitioner | 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001-1479 | 2016-03-01 |
| 1639564453 | Mary Elizabeth Smith Iles | Pediatrics | 77 W Forest Ave, Flagstaff, AZ 86001 | 2015-03-30 |
| 1174914915 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 77 W Forest Ave, Flagstaff, AZ 86001-1479 | 2015-02-16 |
| 1699182188 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 77 W Forest Ave, Flagstaff, AZ 86001-1479 | 2014-07-16 |
| 1033538533 | Neina Orrillo | Registered Nurse | 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 | 2014-04-11 |
| 1720424997 | Meredith Katz Sena | Specialist | 77 W Forest Ave, Ste 301, Flagstaff, AZ 86001-1479 | 2013-05-15 |
| 1669815825 | Lauren Diane Hayward | Pediatrics | 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001-1479 | 2013-04-08 |
| 1548510019 | Mark Daniel Noorlander | Nurse Anesthetist, Certified Registered | 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001-1479 | 2012-09-12 |
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| 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 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679789549 | Andrew James Overhiser | Internal Medicine | 77 W Forest Ave Ste 210, Flagstaff, AZ 86001-1481 | 2007-05-15 |
| 1417902511 | Northern Arizona Gastroenterology | Internal Medicine | 77 W Forest Ave, Ste 210, Flagstaff, AZ 86001-1479 | 2006-05-24 |
| 1003872037 | Stephanie D Martinez Hawthorne | Internal Medicine | 77 W Forest Ave, Ste 210, Flagstaff, AZ 86001-1479 | 2006-04-26 |
| 1285699116 | Steven L Palley | Internal Medicine | 77 W Forest Ave, Ste. 210, Flagstaff, AZ 86001-1479 | 2006-04-20 |
| 1356306724 | Joan C Mitrius | Internal Medicine | 77 W Forest Ave, Ste 210, Flagstaff, AZ 86001-1479 | 2006-04-19 |
| 1639149271 | Gary L. Cornette | Internal Medicine | 77 W Forest Ave, Suite 210, Flagstaff, AZ 86001-1479 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932327 | Honorhealth Ambulatory | Internal Medicine | 9059 W Lake Pleasant Pkwy Ste 320, Peoria, AZ 85382-8362 | 2020-04-28 |
| 1811534480 | Jcl Gastroenterology, LLC | Internal Medicine | 20745 N Scottsdale Rd Ste 120, Scottsdale, AZ 85255-6453 | 2019-12-03 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1215423314 | Bechara Mezher,md,pc | Internal Medicine | 1505 N Swan Rd Ste 201, Tucson, AZ 85712-4044 | 2018-07-02 |
| 1629563085 | Executive Digestive Health | Internal Medicine | 8761 E Bell Rd Ste 101, Scottsdale, AZ 85260-1316 | 2018-06-28 |
| 1447763602 | Desert Gastroenterology Pllc | Internal Medicine | 20430 N 19th Ave Ste B-150, Phoenix, AZ 85027-3588 | 2017-11-09 |
| 1558873992 | Gary P Gottlieb Md PC | Internal Medicine | 7140 E Rosewood St Ste B, Tucson, AZ 85710-1346 | 2017-10-25 |
| 1366963266 | Krishna Medical Pllc | Internal Medicine | 5757 W Thunderbird Rd Ste W212, Glendale, AZ 85306-5607 | 2017-06-29 |
| 1356871123 | Southwest Gastroenterology LLC | Internal Medicine | 20325 N 51st Ave Ste 176, Glendale, AZ 85308-4625 | 2017-06-14 |
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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.