Organization Active NPI

Aurora Centre, Inc

  • Physical Medicine & Rehabilitation Physician
  • Flagstaff, AZ
National Provider Identifier
1104129600
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DR42907 Issued in CO
Legal business name
AURORA CENTRE, INC
Practice address
1851 N Gemini Dr
Flagstaff, AZ 86001-1607
Phone
(928) 266-0118
NPI assigned
Dec 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Lynda Hamner, MD
Title
Owner
Phone
(970) 241-1503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X DR42907 CO Primary

Addresses

Primary practice location

1851 N Gemini Dr
Flagstaff, AZ 86001-1607

Mailing address

1851 N Gemini Dr
Flagstaff, AZ 86001-1607
Phone (928) 266-0118

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1104129600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N GEMINI DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011607",
            "telephone_number": "928-266-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N GEMINI DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011607",
            "telephone_number": "928-266-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA CENTRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "HAMNER",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-241-1503",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "DR42907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.