Active NPI
Ann Brown McCombs, D.O.
- Integrative Medicine Physician
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- License
- OP00001238
- Practice address
- 144 Lakeside St
Prescott, AZ 86305-5010 - Phone
- (206) 718-4343
- Fax
- (928) 237-3245
- NPI assigned
- Apr 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP00001238 | WA | |
| General Practice Physician | 208D00000X | OP00001238 | WA | |
| Integrative Medicine Physician | 202D00000X | OP00001238 | WA | Primary |
Addresses
Primary practice location
144 Lakeside St
Prescott, AZ 86305-5010
Mailing address
144 Lakeside St
Prescott, AZ 86305-5010
Phone (206) 718-4343
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital Association
Practice addresses (Care Compare)
1454 N Co Rd 2050
Carthage, IL 62321-0160
1454 N County Rd
Carthage, IL 62321-0160
Phone (217) 357-8500
PO Box
Carthage, IL 62321-0160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00001238 | WA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Physician Group Holdings, LLC | Current | Accepting new patients | |
| Raghav LLC | Current | Accepting new patients | |
| The Center for Optimal Health | Past | Accepting new patients |
Locations
2286 Crosswind Dr
Ste C
Prescott, AZ 86301
Phone (623) 227-1000
15920 S Rancho Sahuarita Blvd
Ste 120
Sahuarita, AZ 85629
Phone (520) 575-1175
12361 W Bola Dr
Ste 109
Surprise, AZ 85378
Phone (623) 227-1000
395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912
1001 E Hebron Pkwy
Ste 118347
Carrollton, TX 75010
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
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.
-
- Multi-Specialty Clinic/Center
- Surprise, AZ
- NPI 1598125791
-
- Interventional Cardiology Physician
- Tucson, AZ
- NPI 1356726939
-
- Primary Care Clinic/Center
- Bellevue, WA
- NPI 1437320645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1407029903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 LAKESIDE ST",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863055010",
"telephone_number": "206-718-4343",
"fax_number": "928-237-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 LAKESIDE ST",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863055010",
"telephone_number": "206-718-4343",
"fax_number": "928-237-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOMBS",
"first_name": "ANN",
"middle_name": "BROWN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-07",
"last_updated": "2022-12-06",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP00001238",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "OP00001238",
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "WA",
"license": "OP00001238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.