Pulmonary Associates of Northwestern Arizona, PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

33312 Issued in AZ

Legal business name

PULMONARY ASSOCIATES OF NORTHWESTERN ARIZONA, PLLC

Practice address

1791 Mesquite Ave
Lake Havasu City, AZ 86403-5648

Phone

(928) 257-1864

Fax

(928) 855-0188

NPI assigned

Aug 7, 2009

Organization subpart

No

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

Authorized official

Name

Jean Marie Weaver, MD

Title

Member

Phone

(928) 257-1864

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frances Robin Graham, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1861541112
  NPD (past)

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1023249042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864050838",
            "telephone_number": "928-257-1864",
            "fax_number": "928-855-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035648",
            "telephone_number": "928-257-1864",
            "fax_number": "928-855-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Freedom Way Ste 202",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174028202",
            "country_code": "US",
            "telephone_number": "717-851-2465",
            "fax_number": "717-851-2465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PULMONARY ASSOCIATES OF NORTHWESTERN ARIZONA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-257-1864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "33312",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "33312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prestige Assisted Living at Claremont
• Michele Ann Preston, D.O
• Brittany Prevallet, MA, CCC-SLP
• Prima Medical Care LLC
• Progressive Rehabilitation Orthopedic Therapy, Inc
• Brett Qualls, PT
• Edward J Quinn, MD
• Elaine Bontje Quinn, MA
• James Guzman Quintero, ASTR'S AOS
• Radiological Services of Northern Arizona, PC

• Pulmonary Disease Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Pulmonary Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.