Allan Such, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2653 Issued in AZ

Practice address

1485 N Turquoise Dr
Suite 200
Flagstaff, AZ 86001-1398

Phone

(928) 774-7757

Fax

(928) 226-3071

NPI assigned

Jun 25, 2006

Last updated

Sep 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Winslow Memorial Hospital Inc

  dba Little Colorado Medical Center

  • Critical Access Hospital
  • Winslow, AZ
  • NPI 1477653889
  Medicare reassignment
• Winslow Memorial Hospital Inc

  dba Little Colorado Physicians Office

  • General Practice Physician
  • Winslow, AZ
  • NPI 1538321674
  NPD
• Flagstaff Medical Center

  • General Acute Care Hospital
  • Flagstaff, AZ
  • NPI 1780635078
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1316973720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 N TURQUOISE DRIVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-774-7757",
            "fax_number": "928-226-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 N TURQUOISE DR",
            "address_2": "SUITE 200",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011398",
            "telephone_number": "928-774-7757",
            "fax_number": "928-226-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCH",
        "first_name": "ALLAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "708670",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey L. Stubler, MS CCC-SLP
• Linda Stump
• James Patrick Stumpff, RPH
• John Anthony Stupinski, MD
• Ruth Su, PHARMD
• Sudheer J Surpure MD DDS Inc (Grand Canyon Oral and Facial Surgery)
• Birgit Suess, M.S., CCC-SLP
• Cassandra L Summer, PHARMD
• Fred Summerfelt, RDH AP
• Summit Chiropractic & Rehabilitation Inc

• Physician Assistant in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.