Northern Arizona Surgical

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

26206 Issued in AZ

Legal business name

NORTHERN ARIZONA SURGICAL

Practice address

77 W Forest Ave
#202
Flagstaff, AZ 86001-1479

Phone

(928) 773-2500

Fax

(928) 773-2502

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Donald John Huang, M.D.

Title

President

Phone

(928) 773-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark E Donnelly, M.D.

  • Specialist
  • Flagstaff, AZ
  • NPI 1902802192
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1194809699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE",
            "address_2": "#202",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011479",
            "telephone_number": "928-773-2500",
            "fax_number": "928-773-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE",
            "address_2": "#202",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011479",
            "telephone_number": "928-773-2500",
            "fax_number": "928-773-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-773-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "26206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418295",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Arizona Radiology P C
• Northern Arizona Senior Living Community, L.L.C.
• Northern Arizona Speech-Language Service Providers, PLLC
• Northern Arizona Spinal Care, PLLC
• Northern Arizona Substance Abuse Services
• Northern Arizona Surgical Assisting LLC
• Northern Arizona Surgicenter, LLC
• Northern Arizona University
• Northern Arizona University
• Northern Arizona University

• Surgery Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.