Active NPI
Andrew David, M.D.
- Radiation Oncology Physician
- Flagstaff, AZ
National Provider Identifier
1144222001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 24772
- Practice address
- 1329 N Beaver St Ste 1
Flagstaff, AZ 86001-3127 - Phone
- (928) 773-2260
- Fax
- (928) 773-2402
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 24772 | AZ | Primary |
Addresses
Primary practice location
1329 N Beaver St Ste 1
Flagstaff, AZ 86001-3127
Mailing address
1760 E River Rd Ste 350
Tucson, AZ 85718-5999
Phone (520) 519-7775
Other practice location 1
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 773-2261
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109498 | Medicaid | AZ | |
| 0010949804 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Oncology Services Inc | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Phoenix, AZ
- NPI 1972628675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1144222001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 E RIVER RD STE 350",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857185999",
"telephone_number": "520-519-7775",
"fax_number": "520-519-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 N BEAVER ST STE 1",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013127",
"telephone_number": "928-773-2260",
"fax_number": "928-773-2402"
}
],
"practiceLocations": [
{
"address_1": "1200 N Beaver St",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860013118",
"country_code": "US",
"telephone_number": "928-773-2261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVID",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "AZ",
"license": "24772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109498",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010949804",
"state": "AZ"
}
],
"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 Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.