| Northern Arizona Gastroenterology | |
|
77 W Forest Ave Ste 210 Flagstaff AZ 86001-1479 | |
| (928) 773-2547 | |
| (928) 773-2548 |
| Full Name | Northern Arizona Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 77 W Forest Ave, Flagstaff, Arizona |
| Authorized Official Name and Position | Stephanie D Hawthorne (PRESIDENT, NORTHERN ARIZONA GASTROE) |
| Authorized Official Contact | 9287732547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Arizona Gastroenterology 77 W Forest Ave Ste 210 Flagstaff AZ 86001-1479 Ph: (928) 773-2547 | Northern Arizona Gastroenterology 77 W Forest Ave Ste 210 Flagstaff AZ 86001-1479 Ph: (928) 773-2547 |
| NPI Number | 1417902511 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 01/15/2013 |
| Medicare PECOS PAC ID | 1658260112 |
|---|---|
| Medicare Enrollment ID | O20040312000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417902511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Stephanie D Martinez Hawthorne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003872037 PECOS PAC ID: 8729069836 Enrollment ID: I20040525001630 |
| Provider Name | Steven L Palley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285699116 PECOS PAC ID: 9537050075 Enrollment ID: I20050711000815 |
| Provider Name | Vincent J Honan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073585014 PECOS PAC ID: 8820013782 Enrollment ID: I20051010000772 |
| Provider Name | Rodney A Engel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659351187 PECOS PAC ID: 4688745441 Enrollment ID: I20080623000101 |
| Provider Name | Andrew J Overhiser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679789549 PECOS PAC ID: 6103942677 Enrollment ID: I20100922000635 |
| Provider Name | Micheal A Trujillo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467417824 PECOS PAC ID: 7911898440 Enrollment ID: I20110601000906 |
| Provider Name | Julia L Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104087881 PECOS PAC ID: 1254508864 Enrollment ID: I20120123000830 |
| Provider Name | Ashley B Peak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225647209 PECOS PAC ID: 4486065539 Enrollment ID: I20201123000894 |
| Provider Name | Melissa Hakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659149847 PECOS PAC ID: 9032554308 Enrollment ID: I20240226003464 |
North Country Healthcare-ponderosa Hs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2384 N Steves Blvd, Flagstaff, AZ 86004 Phone: 928-522-9410 Fax: 928-522-9411 | |
Aspen Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2912 N West St, Flagstaff, AZ 86004 Phone: 928-774-3627 Fax: 927-774-1400 | |
Ryan Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 E Oak Ave, Suite 202, Flagstaff, AZ 86001 Phone: 928-773-2560 Fax: 928-913-8835 | |
Vasco Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 N Switzer Canyon Dr Ste 201, Flagstaff, AZ 86001 Phone: 602-346-0204 | |
Native Americans For Community Action, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 E Cedar Ave, Ste 26, Flagstaff, AZ 86004 Phone: 928-773-1245 Fax: 928-773-9429 | |
North Country Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6121 Fax: 928-774-6687 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2920 N. 4th Street, Flagstaff, AZ 86004 Phone: 928-522-9400 Fax: 928-774-6687 |