Christine Ameduri, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26996 Issued in AZ

Practice address

1110 E Route 66 Ste 100
Flagstaff, AZ 86001-4772

Phone

(928) 773-9695

Fax

(928) 773-0208

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Current Care of Arizona PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1780873307
  Medicare reassignment NPD
• Flagstaff Family Physicians PC

  dba Optum Primary Care

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1790976470
  NPD (past)
• Voytek Inc

  dba Mountain Medicine Integrative Wellness Center

  • Clinic/Center
  • Flagstaff, AZ
  • NPI 1528576444
  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1063965358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E ROUTE 66 STE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014772",
            "telephone_number": "928-773-9695",
            "fax_number": "928-773-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E ROUTE 66 STE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014772",
            "telephone_number": "928-773-9695",
            "fax_number": "928-773-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEDURI",
        "first_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "26996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Althea Rehabilitation
• April C Alvarez-Corona, M.D.
• Inna Aurelia Amaryllis, MD
• Ambulatory Surgi-Center at FMC LLC
• Amedisys Arizona, L.L.C. (Amedisys Home Health of Flagstaff)
• American Current Care of Arizona PA
• American Current Care of Arizona PA (Concentra Urgent Care)
• Andc, Inc
• Bianca Maria Anderson, MS, RD
• Emily Anderson

• Family Medicine Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.