Medical Firefighter Inc

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

OP 60046454 Issued in WA

Legal business name

MEDICAL FIREFIGHTER INC

Practice address

Corner of N12 & N7
FD 2371 Red Rock Circle
Fort Defiance, AZ 86504

Phone

(509) 420-5125

Fax

(614) 861-5537

NPI assigned

Feb 5, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Grace Hercl, D.O.

Title

Physician

Phone

(509) 420-5125

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1003155474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2331",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865042331",
            "telephone_number": "509-420-5125",
            "fax_number": "614-861-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF N12 & N7",
            "address_2": "FD 2371 RED ROCK CIRCLE",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "509-420-5125",
            "fax_number": "614-861-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FIREFIGHTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "HERCL",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "509-420-5125",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "OP 60046454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LIC",
            "identifier": "OP 60046454",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel C. McIntyre, PA-C
• Theresa McKinney
• Lindsey McKnight, PTA
• Michael J McNett, MD
• Sabine Irene McReynolds, MD
• Derek Joseph Melton, O.D.
• Garrison Melzer, DMD
• Dilto Aaron Mendoza Bello
• Beth Meneely, CRNA
• Craig W Meyer, DPM

• Hospitalist Physician in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Hospitalist Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.