Compass Medical Center Safford PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

COMPASS MEDICAL CENTER SAFFORD PLLC

Practice address

1765 S 20TH Ave
Safford, AZ 85546-4012

Phone

(928) 536-5525

NPI assigned

Jan 28, 2019

Last updated

Jan 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin Woodside, DCNPI 1306005327

Title

Owner

Phone

(928) 536-5525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Butler, NP-C

  • Nurse Practitioner
  • Yuma, AZ
  • NPI 1972978377
  Medicare reassignment Care Compare group NPD
• Lanny Craig Crockett, DC

  • Chiropractor
  • Snowflake, AZ
  • NPI 1780644195
  Medicare reassignment Care Compare group
• Christi L Moore, PA

  • Physician Assistant
  • Glendale, AZ
  • NPI 1528080975
  Medicare reassignment Care Compare group
• Justin James Woodside, D.C.

  • Chiropractor
  • Snowflake, AZ
  • NPI 1306005327
  NPD (past) Authorized official
• Megan Amber Haden, FNP-C

  • Family Nurse Practitioner
  • Apache Junction, AZ
  • NPI 1982115085
  NPD
• Matthew Marshall, FNP

  • Nurse Practitioner
  • Branson, MO
  • NPI 1073925319
  NPD

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1114481876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464012",
            "telephone_number": "928-536-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464012",
            "telephone_number": "928-536-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS MEDICAL CENTER SAFFORD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "WOODSIDE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-536-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason McEuen Clonts, PHARMD
• Dawn Cluff-Lane, CNP
• Community Medical Services Arizona-Private, LLC (Community Medical Services Safford)
• Community Medical Services Arizona-Private, LLC (Community Medical Services - Safford)
• Community Partners Integrated Healthcare, Inc.
• Kathleen Marie Conlon, FNP-C
• Alvin Joy Coon, D D S
• Jesse Robert Coons, DO
• Samuel Crandell
• Kelsey Lynn Crosby, FNP-C

• General Practice Physician in Safford, AZ
• Providers in Safford, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.