Northern Arizona Pediatric Intensive Care Specialists

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

Legal business name

NORTHERN ARIZONA PEDIATRIC INTENSIVE CARE SPECIALISTS

Practice address

77 W Forest Ave Ste 304
Flagstaff, AZ 86001-1481

Phone

(928) 214-3600

Fax

(928) 214-3601

NPI assigned

Mar 28, 2008

Last updated

Mar 28, 2008By 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

Christopher C Becker

Title

Administrator

Phone

(928) 214-3600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1144492299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE STE 304",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011481",
            "telephone_number": "928-214-3600",
            "fax_number": "928-214-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE STE 304",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011481",
            "telephone_number": "928-214-3600",
            "fax_number": "928-214-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA PEDIATRIC INTENSIVE CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-214-3600"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Arizona Optometry (Eye Care Associates)
• Northern Arizona Optometry, PLLC (Eye Care Associates)
• Northern Arizona Oral Surgery PC
• Northern Arizona Orthodontics
• Northern Arizona Orthopaedics, LTD.
• Northern Arizona Podiatry Group
• Northern Arizona Pulmonary Associates, LLC
• Northern Arizona Radiation Oncology
• Northern Arizona Radiology P C
• Northern Arizona Senior Living Community, L.L.C. (The Peaks Health & Rehabilitation)

• Pediatric Critical Care Medicine Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Pediatric Critical Care Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.