NPIMap

Organization Active NPI

Flagstaff Primary Care, PC

  • Pediatrics Physician
  • Flagstaff, AZ
National Provider Identifier
1285703918
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FLAGSTAFF PRIMARY CARE, PC
Practice address
1501 S Yale St
Ste #252
Flagstaff, AZ 86001-7304
Phone
(928) 774-1811
Fax
(928) 774-2006
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Dr. Lauren H. Stuart, M.D.
Title
Owner/Treasurer
Phone
(928) 774-1811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X AZ Primary

Addresses

Primary practice location

1501 S Yale St
Ste #252
Flagstaff, AZ 86001-7304

Mailing address

1501 S Yale St
Ste #252
Flagstaff, AZ 86001-7304
Phone (928) 774-1811

Other identifiers 1

IdentifierTypeStateIssuer
351282MedicaidAZ

Other names 1

  • DBA: Flagstaff Pediatric Care Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5519/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1285703918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S YALE ST",
            "address_2": "STE #252",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017304",
            "telephone_number": "928-774-1811",
            "fax_number": "928-774-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S YALE ST",
            "address_2": "STE #252",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017304",
            "telephone_number": "928-774-1811",
            "fax_number": "928-774-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSTAFF PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/TREASURER",
        "authorized_official_telephone_number": "928-774-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351282",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: Flagstaff Pediatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.