BAGDAD CONSULTING PHYSICIANS GROUP (NPI# 1912118779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912118779 |
| Entity Type | Organization |
| Organization Name | BAGDAD CONSULTING PHYSICIANS GROUP |
| Other Organization Name | BAGDAD COMMUNITY HEALTH |
| Practice Address |
12 Hope Drive Bagdad AZ 86321 |
| Mailing Address |
Po Box 948 Bagdad AZ 86321-0948 |
| Practice Telephone | 9286336011 |
| Mailing Telephone | 9286336011 |
| Mailing Fax Number | 9286333376 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2011-12-09 |
| Authorized Official Name | DR. WAYNE E BECK (PHYSICIAN) |
| Authorized Official Telephone | 9286336011 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PTAN | ZMD19960 | 01 |
| Other Name | Type Code |
|---|---|
| Bagdad Community Health | Other Name - Individual/Organization |
| Street Address |
12 HOPE DRIVE |
| City | BAGDAD |
| State | AZ |
| Zip Code | 86321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609807957 | Sonia A Seufer | Family Medicine | 12 Hope Drive, Bagdad, AZ 86321 | 2006-07-05 |
| 1457804932 | Christal Garza | Nurse Practitioner | 12 Hope Drive, Bagdad, AZ 86321 | 2016-08-01 |
| 1649375437 | Shahrokh Nmn Salmasi | General Practice | 12 Hope Drive, Bagdad, AZ 86321 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730445347 | Community Hospital Association, Inc. | Clinic/Center | 700 Palo Verde Road, Bagdad, AZ 86321 | 2012-04-09 |
| 1407851132 | John Arthur Buckman | Physician Assistant | 12 Hope Dr, Bagdad, AZ 86321 | 2005-06-17 |
| 1528087251 | Gary Crandell | Physician Assistant | 12 Hope Dr, Bagdad, AZ 86321 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760757942 | John Curtis Edward Koenig Jr. | Pediatrics | 3570 Vigo Rd, Bagdad, KY 40003-8022 | 2012-03-20 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1609144393 | Community Hospital Association, Inc. | Clinic/Center | 26750 S. Santa Fe Road, Suite B, Congress, AZ 85332 | 2011-12-08 |
| 1285869883 | Rchp-sierra Vista Inc | Clinic/Center | 1101 N San Antonio Ave, Douglas, AZ 85607-2419 | 2009-05-27 |
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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.