GRANITE MOUNTAIN MEDICAL, PLLC (NPI# 1811447006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811447006 |
| Entity Type | Organization |
| Organization Name | GRANITE MOUNTAIN MEDICAL, PLLC |
| Other Organization Name | PRESCOTT URGENT CARE |
| Practice Address |
1680 Willow Creek Rd Prescott AZ 86301-1108 |
| Practice Telephone | 5027676708 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | DR. CRAIG SINNARD (OWNER) |
| Authorized Official Telephone | 5027676708 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
49161 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Prescott Urgent Care | Doing Business As Name - Organization |
| Street Address |
1680 WILLOW CREEK RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225094550 | John R Markham | Optometrist | 1680 Willow Creek Rd, Prescott, AZ 86301-1108 | 2006-04-25 |
| 1871989111 | M&m Eye Institute Plc | Optometrist | 1680 Willow Creek Rd, Prescott, AZ 86301-1108 | 2015-04-14 |
| 1194999722 | John R. Markham PC | Eyewear Supplier (Equipment, not the service) | 1680 Willow Creek Rd, Prescott, AZ 86301-1108 | 2008-04-15 |
| 1689871667 | John R Markham PC | Optometrist | 1680 Willow Creek Rd, Prescott, AZ 86301-1108 | 2007-07-02 |
| 1972688836 | Scott Patrick Markham | Ophthalmology | 1680 Willow Creek Rd, Prescott, AZ 86301-1108 | 2006-10-26 |
| 1306877758 | Barnet Dulaney Surgery Centers, Pllc | Clinic/Center | 1680 Willow Creek Rd, Prescott, AZ 86301-1108 | 2006-07-05 |
| 1790720241 | Advanced Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | 1680 Willow Creek Rd, Prescott, AZ 86301-1108 | 2006-06-18 |
| 1306896303 | Carrie Joy Miranda | Optometrist | 1680 Willow Creek Rd, Prescott, AZ 86301-1108 | 2006-05-11 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841464138 | Trans4med, Pllc | Clinic/Center | 2062 Willow Creek Rd, Prescott, AZ 86301-5389 | 2008-04-17 |
| 1588193023 | Thumb Butte Medical Center, Pllc | Clinic/Center | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305312 | Right Care Urgent Care LLC | Clinic/Center | 9041 E Talking Stick Way, Scottsdale, AZ 85250-8521 | 2020-10-26 |
| 1528675865 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 4959 W Ray Rd Ste 33, Chandler, AZ 85226-2098 | 2020-09-30 |
| 1952918583 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2875 W Ray Rd Ste 8, Chandler, AZ 85224-3619 | 2020-09-28 |
| 1962019554 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 725 S Rural Rd Ste 120, Tempe, AZ 85281-2047 | 2020-09-28 |
| 1265049894 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 12775 W Bell Rd Ste 100, Surprise, AZ 85378-9770 | 2020-09-28 |
| 1982211512 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 1810 S Power Rd Ste 101, Mesa, AZ 85206-4325 | 2020-09-28 |
| 1508473133 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2860 W Peoria Ave Ste B, Phoenix, AZ 85029-5218 | 2020-09-28 |
| 1891302428 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3244 S Mill Ave Ste 101, Tempe, AZ 85282-3688 | 2020-09-28 |
| 1396352985 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3705 S Arizona Ave Ste 1, Chandler, AZ 85248-2703 | 2020-09-28 |
| 1588271118 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 4902 E Shea Blvd Ste 101, Scottsdale, AZ 85254-4184 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.