ARIZONA INDEPENDENT MEDICAL ASSOCIATES, PLLC (NPI# 1790959393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790959393 |
Entity Type | Organization |
Organization Name | ARIZONA INDEPENDENT MEDICAL ASSOCIATES, PLLC |
Practice Address |
3150 N Winding Brook Rd Flagstaff AZ 86001-0972 |
Mailing Address |
Po Box 2277 Flagstaff AZ 86003-2277 |
Practice Telephone | 9285560060 |
Practice Fax Number | 9285560015 |
Mailing Telephone | 9285560060 |
Mailing Fax Number | 9285560015 |
Enumeration Date | 2008-04-15 |
Last Update Date | 2018-05-16 |
Authorized Official Name | CHRISTINE M MCGREGOR (FNP/CO-OWNER) |
Authorized Official Telephone | 9285560060 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | PTAN | Z135964 | 01 |
AZ | 333425 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1200 N Beaver St, Flagstaff, AZ 86001 | 9287730003 | 9287731170 |
Street Address |
3150 N WINDING BROOK RD |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86001-0972 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679515449 | Northern Arizona Senior Living Community, L.L.C. | Assisted Living Facility | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 | 2006-06-13 |
1811538507 | Jody Brooke Herron | Physician Assistant | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 | 2019-10-03 |
1376029942 | Alesha Michele Blacketer | Nurse Practitioner | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 | 2018-07-17 |
1700370566 | Shelby Austin Ragghanti | Technician, Health Information | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 | 2018-06-15 |
1730677550 | Jordyn Rae Weidle | Occupational Therapist | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 | 2018-04-26 |
1891298394 | Esther E Kim | Physical Therapist | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 | 2018-03-12 |
1720439300 | Jessica Lynn Cool | Physical Therapy Assistant | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 | 2016-06-24 |
1861869984 | Lisa Tenbarge | Physical Therapist | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 | 2015-08-24 |
1609257294 | Emily Anderson | Speech-Language Pathologist | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 | 2015-06-09 |
1295112902 | Eileen Scott | Occupational Therapist | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 | 2015-05-01 |
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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 | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891149043 | Audrey Lee | Hospitalist | 1200 N Beaver St, Flagstaff, AZ 86001 | 2016-04-13 |
1396004800 | Northern Arizona Healthcare Provider Group, LLC | Hospitalist | 1200 North Beaver Street, Flagstaff, AZ 86001-3118 | 2012-05-04 |
1780987073 | Marian Lacy | Hospitalist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2010-12-08 |
1730358789 | Jack Ce Ji | Hospitalist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-02-25 |
1255518163 | Flagstaff Medical Center | Hospitalist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-01-23 |
1740311612 | Flagstaff Medical Center | Hospitalist | 1200 N. Beaver St., Flagstaff, AZ 86001-3118 | 2007-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679051171 | Supai LLC | Hospitalist | 13350 N 94th Dr Ste A101, Peoria, AZ 85381-4826 | 2018-08-06 |
1033622626 | Agave Medical Group Pllc | Hospitalist | 1301 S. Crimaon Rd, Mesa, AZ 85209-2737 | 2017-11-06 |
1356853691 | Leading Health Care, Pllc | Hospitalist | 22922 N 40th Pl, Phoenix, AZ 85050-8742 | 2017-10-26 |
1124530647 | Arizona Primary Care Associates LLC | Hospitalist | 130 S 63rd St Ste 120, Mesa, AZ 85206-1604 | 2017-10-25 |
1811421852 | Alex Shen | Hospitalist | 4426 W Oraibi Dr, Glendale, AZ 85308-7320 | 2017-04-17 |
1154860674 | Arizona Acute Medical Services 1 PC | Hospitalist | 5750 E Baseline Rd, Mesa, AZ 85206-4806 | 2017-02-16 |
1942749619 | Bh Hospital Specialists, LLC | Hospitalist | 25437 N Moon Blossum Ln, Phoenix, AZ 85083-1676 | 2017-02-14 |
1851746440 | Jonmark Moorington | Hospitalist | 1919 E Thomas Rd., Phoenix Children's Hospital, Phoenix, AZ 85016 | 2016-05-02 |
1629432190 | Mina Albadri | Hospitalist | 350 W Thomas Rd Ste 900a, Phoenix, AZ 85013-4409 | 2016-04-11 |
1396117933 | Jr Healthcare Consultants LLC | Hospitalist | 807 W Colter St Apt 88, Phoenix, AZ 85013-2296 | 2015-10-22 |
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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.