Individual provider Active NPI

Stephen F Lex, MD

  • Plastic Surgery Physician
  • Flagstaff, AZ
National Provider Identifier
1215930599
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
17751 Issued in AZ
Practice address
1020 N San Francisco St
# 200
Flagstaff, AZ 86001-3281
Phone
(928) 774-2300
Fax
(928) 214-2150
NPI assigned
May 31, 2005
Last updated
Oct 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 17751 AZ Primary

Addresses

Primary practice location

1020 N San Francisco St
# 200
Flagstaff, AZ 86001-3281

Mailing address

1020 N San Francisco St
# 200
Flagstaff, AZ 86001-3281
Phone (928) 774-2300

Other identifiers 8

IdentifierTypeStateIssuer
240004146OtherAZRAILROAD MEDICARE
17751OtherAZAZ STATE LICENSE #
P282559MedicaidAZ
2004140OtherAZCIGNA
AZ0264810OtherAZBLUE CROSS/BLUE SHIELD AZ
282559MedicaidAZ
18032746OtherAZST COMP FUND AZ
8607474152004OtherAZEMPLOYER ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000552 AZ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 9436240447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 N San Francisco St
Suite 200
Flagstaff, AZ 86001-3281
Phone (928) 774-2300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgeons of Northern Arizona, PLLC Plastic Surgery CurrentSince Jan 1, 1994 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Dec 1, 2021 Accepting new patients
Northern Arizona Healthcare Corporation Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Plastic Surgeons of Northern Arizona, PLLC CurrentSince Jan 1, 1994 Accepting new patients
Northern Arizona Healthcare Corporation Internal Medicine PastSince Aug 6, 2023 Accepting new patients
Northwest Valley Oral and Facial Surgery PC Past Accepting new patients
Flagstaff Medical Center Past Accepting new patients

Locations

401 S Calvary Way
Ste A
Cottonwood, AZ 86326
Phone (928) 282-3305

401 S Calvary Way
Ste D
Cottonwood, AZ 86326
Phone (602) 613-5473

1020 N San Francisco St
Flagstaff, AZ 86001
Phone (520) 774-2300

1020 N San Francisco St
#200
Flagstaff, AZ 86001
Phone (928) 774-2300

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

1020 N San Francisco St
Ste 200
Flagstaff, AZ 86001
Phone (520) 774-2300

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

5130 N US Highway 89
Flagstaff, AZ 86004
Phone (928) 773-2054

1841 E Morrow Ave
Kingman, AZ 86409
Phone (928) 753-4263

2963 W White Mountain Blvd
Lakeside, AZ 85929
Phone (928) 242-0247

405 W Main St
Ste D
Payson, AZ 85541
Phone (928) 474-0429

3700 W State Route 89A
Sedona, AZ 86336
Phone (928) 204-3000

61 Bell Rock Plz
Ste B
Sedona, AZ 86351
Phone (928) 284-2116

16936 W Bell Rd
Ste 203
Surprise, AZ 85374
Phone (623) 583-1875

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1215930599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N SAN FRANCISCO ST",
            "address_2": "# 200",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013281",
            "telephone_number": "928-774-2300",
            "fax_number": "928-214-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N SAN FRANCISCO ST",
            "address_2": "# 200",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013281",
            "telephone_number": "928-774-2300",
            "fax_number": "928-214-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEX",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "17751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "240004146",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE #",
            "identifier": "17751",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P282559",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2004140",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD AZ",
            "identifier": "AZ0264810",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282559",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST COMP FUND AZ",
            "identifier": "18032746",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER ID #",
            "identifier": "8607474152004",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.