Individual provider Active NPI

Barbara Polstein, DO

  • Family Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1316915069
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3437 Issued in AZ
Practice address
824 S San Fransisco St
BLDG 25 Nau Campus
Flagstaff, AZ 86011-0001
Phone
(928) 523-2131
Fax
(928) 523-1102
NPI assigned
Mar 9, 2006
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3437 AZ Primary

Addresses

Primary practice location

824 S San Fransisco St
BLDG 25 Nau Campus
Flagstaff, AZ 86011-0001

Mailing address

824 S San Fransisco St
BLDG 25 Nau Campus
Flagstaff, AZ 86011-0001
Phone (928) 523-2131

Other practice location 1

2920 N 4th St
Flagstaff, AZ 86004-1816
Phone (928) 522-9400

Other names 1

  • Barbara Polstein Other name

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
I20070307000111 AZ Practitioner - General Practice 0840393161 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3437AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Sep 22, 2015 Accepting new patients
North Country Healthcare, Inc. CurrentSince Sep 22, 2015 Accepting new patients
North Country Healthcare, Inc. Family Medicine Current Accepting new patients
Northern Arizona University CurrentSince Feb 1, 2021 Accepting new patients
Az BD of Regents for on Behalf of Northern Az University CurrentSince Feb 1, 2021 Accepting new patients
Northern Arizona University Current Accepting new patients
North Country Healthcare, Inc. Past Accepting new patients

Locations

2585 Miracle Mile
Ste 116
Bullhead City, AZ 86442
Phone (928) 219-3300

1120 W University Ave
Flagstaff, AZ 86001
Phone (928) 522-1300

1120 W University Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 522-1300

208 E Pne Knl Dr
Flagstaff, AZ 86011
Phone (928) 523-5122

2187 N Vickey St
Ste 2
Flagstaff, AZ 86004
Phone (928) 527-1899

2500 N Rose St
Flagstaff, AZ 86004
Phone (928) 213-6121

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

824 S San Francisco St
Flagstaff, AZ 86011
Phone (928) 523-2131

912 Riordan Rd
Flagstaff, AZ 86011
Phone (928) 523-1695

2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100

1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177

2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800

2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300

488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127

300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441

301 S 7th St
Williams, AZ 86046
Phone (928) 607-7227

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1316915069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 S SAN FRANSISCO ST",
            "address_2": "BLDG 25 NAU CAMPUS",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860110001",
            "telephone_number": "928-523-2131",
            "fax_number": "928-523-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 S SAN FRANSISCO ST",
            "address_2": "BLDG 25 NAU CAMPUS",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860110001",
            "telephone_number": "928-523-2131",
            "fax_number": "928-523-1102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860041816",
            "country_code": "US",
            "telephone_number": "928-522-9400",
            "fax_number": "928-774-4808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLSTEIN",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "POLSTEIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.