Plastic Surgeons of Northern Arizona,PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PLASTIC SURGEONS OF NORTHERN ARIZONA,PLLC

Practice address

1020 N San Francisco St
Suite 200
Flagstaff, AZ 86001-3281

Phone

(928) 774-2300

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Steven T Schwartz

Title

Administrator

Phone

(928) 774-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Plastic Surgeons of Northern Arizona, PLLC

  • Plastic Surgery Physician
  • Flagstaff, AZ
  • NPI 1154511814

  O20040211000614

  Same enrollment
• Plastic Surgeons of Northern Arizona, PLLC

  • Specialist
  • Flagstaff, AZ
  • NPI 1871531418

  O20040211000614

  Same enrollment
• Plastic Surgeons of Northern Arizona,PLLC

  • Plastic Surgery Physician
  • Flagstaff, AZ
  • NPI 1073703732

  O20040211000614

  Same enrollment

Locations

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356536544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N SAN FRANCISCO ST",
            "address_2": "SUITE 200",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013281",
            "telephone_number": "928-774-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N SAN FRANCISCO ST",
            "address_2": "SUITE 200",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013281",
            "telephone_number": "928-774-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGEONS OF NORTHERN ARIZONA,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-774-2300"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "116236",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari Anne Plank, PSY.D.
• Planned Parenthood Arizona
• Plastic Surgeons of Northern Arizona, PLLC
• Plastic Surgeons of Northern Arizona, PLLC
• Plastic Surgeons of Northern Arizona,PLLC
• Melanie R Platt
• Rachelle Elizabeth Plumb, PT
• Sydney Marie Poehls, PA
• Jesteny-Amber W Poesch
• Barbara Polstein, DO

• Plastic Surgery Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.