Active NPI
Northern Arizona Radiology P C
- Diagnostic Radiology Physician
- Flagstaff, AZ
National Provider Identifier
1275588659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- NORTHERN ARIZONA RADIOLOGY P C
- Practice address
- 77 W Forest Avenue
Suite 101
Flagstaff, AZ 86001-1482 - Phone
- (928) 773-2515
- Fax
- (928) 773-2240
- NPI assigned
- May 23, 2006
- Last updated
- Oct 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen V. Ward, M.D.
- Title
- President
- Phone
- (928) 773-2515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
77 W Forest Avenue
Suite 101
Flagstaff, AZ 86001-1482
Mailing address
Dept 2018
PO Box 29675
Phoenix, AZ 85038-3340
Phone (928) 773-2515
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0048350 | Other | AZ | BLUE CROSS BLUE SHIELD |
| Z1339 | Medicaid | UT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/ | Other | Management Services Network, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA, OH, NY, FL
Enrollment records 5
National Provider Directory
National Provider DirectoryLocations
450 S Willard St
Ste 111
Cottonwood, AZ 86326
Phone (928) 639-6587
77 W Forest Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 773-2515
Practitioners & affiliated clinicians
Practitioners 30
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Flagstaff, AZ
- NPI 1497700579
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1881674695
-
- Diagnostic Radiology Physician
- Tucson, AZ
- NPI 1972732907
-
- Diagnostic Radiology Physician
- Flagstaff, AZ
- NPI 1386699643
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1669794053
-
- Diagnostic Radiology Physician
- Flagstaff, AZ
- NPI 1902851389
-
- Diagnostic Radiology Physician
- Flagstaff, AZ
- NPI 1710932199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792195200000",
"number": "1275588659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 2018",
"address_2": "PO BOX 29675",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850383340",
"telephone_number": "928-773-2515",
"fax_number": "928-773-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W FOREST AVENUE",
"address_2": "SUITE 101",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011482",
"telephone_number": "928-773-2515",
"fax_number": "928-773-2240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN ARIZONA RADIOLOGY P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2026-10-17",
"certification_date": "2026-10-17",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-773-2515",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0048350",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z1339",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/",
"affiliation": "Y",
"endpointDescription": "urn:oid:2.16.840.1.113883.3.1036.1",
"affiliationName": "Management Services Network, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2357 Warm Springs RD Ste 400",
"city": "Columbus",
"state": "GA",
"country_code": "US",
"postal_code": "319046874",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Flagstaff, AZ
- Northern Arizona Orthopaedics, LTD.
- Northern Arizona Pediatric Intensive Care Specialists
- Northern Arizona Podiatry Group
- Northern Arizona Pulmonary Associates, LLC
- Northern Arizona Radiation Oncology
- Northern Arizona Senior Living Community, L.L.C. (The Peaks Health & Rehabilitation)
- Northern Arizona Speech-Language Service Providers, PLLC (Northern Arizona Speech/Language Service Providers)
- Northern Arizona Spinal Care, PLLC
- Northern Arizona Substance Abuse Services
- Northern Arizona Surgical
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.