Organization Active NPI

J & S Medical, PC

  • Anesthesiology Physician
  • Flagstaff, AZ
National Provider Identifier
1124456249
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
18919 Issued in AZ
Legal business name
J & S MEDICAL, PC
Practice address
1020 N San Francisco St
Ste #1000
Flagstaff, AZ 86001-3281
Phone
(928) 526-1112
Fax
(928) 714-9285
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Dr. James H Gibson, MD
Title
President
Phone
(928) 213-1835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 18919 AZ Primary

Addresses

Primary practice location

1020 N San Francisco St
Ste #1000
Flagstaff, AZ 86001-3281

Mailing address

PO Box 30488
Flagstaff, AZ 86003-0488
Phone (928) 523-1112

National Provider Directory

National Provider Directory

Locations

1020 N San Francisco St
Ste 1000
Flagstaff, AZ 86001
Phone (928) 214-2134

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1124456249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30488",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860030488",
            "telephone_number": "928-523-1112",
            "fax_number": "928-714-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N SAN FRANCISCO ST",
            "address_2": "STE #1000",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013281",
            "telephone_number": "928-526-1112",
            "fax_number": "928-714-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & S MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-213-1835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "18919",
            "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 Oct 29, 2013; 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.