Bdpec Flagstaff ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BDPEC FLAGSTAFF ASC LLC

Practice address

1030 N San Francisco St
Suite 130
Flagstaff, AZ 86001-3252

Phone

(928) 779-0500

Fax

(928) 779-6350

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Donald G Snyder

Title

Cfo

Phone

(602) 955-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1255645453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N SAN FRANCISCO ST",
            "address_2": "SUITE 130",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013252",
            "telephone_number": "928-779-0500",
            "fax_number": "928-779-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDPEC FLAGSTAFF ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-955-1000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda F.. Batie, ED.S.
• Sunil Kumar Batlahally Venkatarayappa, M.D.,
• Emily Bauerle, LMSW
• Mary Ann Baul, IBCLC, RN
• Cody Bayles, PHD, LPC
• Anne-Marie Beamer, RN
• Bear Hill Anesthesia PC
• Kerry A Beasley, AU.D
• Susan Beaupre, RN
• Beauty Way Speech Services

• Ambulatory Surgical Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.