Individual provider Active NPI

Paul Christian Pflueger, MD

  • Orthopaedic Surgery Physician
  • Prescott, AZ
National Provider Identifier
1386647998
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
37966 Issued in AZ
Practice address
1223 Willow Creek Rd
Prescott, AZ 86301-1427
Phone
(928) 777-9950
Fax
(928) 777-9975
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 37966 AZ Primary

Addresses

Primary practice location

1223 Willow Creek Rd
Prescott, AZ 86301-1427

Mailing address

1223 Willow Creek Rd
Prescott, AZ 86301-1427
Phone (928) 777-9950

Other identifiers 1

IdentifierTypeStateIssuer
8967421MedicaidNC

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
I20080218000356 AZ Practitioner - Orthopedic Surgery 4284606807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granite Orthopaedics PLLCGroup PAC ID 6305025669, 12 clinicians

Practice addresses (Care Compare)

1223 Willow Creek Rd
Prescott, AZ 86301-1427
Phone (928) 777-9950

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Granite Orthopaedics PLLC Orthopaedic Surgery CurrentSince Nov 1, 2010 Accepting new patients
Granite Orthopaedics, PLLC CurrentSince Nov 1, 2010 Accepting new patients
Northern Arizona Orthopaedics, LTD. Past Accepting new patients

Locations

1223 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-3055

3195 Stillwater Dr
Ste D
Prescott, AZ 86305
Phone (928) 443-9753

2960 N Centre Ct
Prescott Valley, AZ 86314
Phone (928) 777-9950

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1386647998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011427",
            "telephone_number": "928-777-9950",
            "fax_number": "928-777-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011427",
            "telephone_number": "928-777-9950",
            "fax_number": "928-777-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLUEGER",
        "first_name": "PAUL",
        "middle_name": "CHRISTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "37966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8967421",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.