NPIMap

Individual provider Active NPI

Aaron Knudson, D.O.

  • Internal Medicine Physician
  • Page, AZ
National Provider Identifier
1447417951
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
005875 Issued in AZ
Practice address
601 N Navajo Drive
Pob 1447
Page, AZ 86040
Phone
(928) 645-0766
Fax
(928) 645-0767
NPI assigned
May 21, 2008
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 005875 AZ Primary
Pediatrics Physician 208000000X 005875 AZ

Addresses

Primary practice location

601 N Navajo Drive
Pob 1447
Page, AZ 86040

Mailing address

601 North Navajo Drive
Page, AZ 86040
Phone (928) 645-0766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121017000592 AZ Practitioner - Internal Medicine 8426208083 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 N Navajo
Page, AZ 86040
Phone (928) 645-2424

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005875AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, PC CurrentSince Dec 15, 2012 Accepting new patients
Emergency Professional Services PC CurrentSince Dec 15, 2012 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2012 Accepting new patients
Emergency Professional Services PC Current Accepting new patients
Page Hospital CurrentSince Jan 1, 2018 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2012 Accepting new patients
Creek Valley Health Clinic Family Medicine CurrentSince Oct 17, 2019 Accepting new patients
Page Hospital CurrentSince Jan 1, 2018 Accepting new patients
Emergency Physicians Southwest, PC CurrentSince Jun 1, 2015 Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGHIBD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Creek Valley Health ClinicColorado City, AZ, CCN 031988 Federally qualified health center Other Aug 13, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1447417951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NORTH NAVAJO DRIVE",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "86040",
            "telephone_number": "928-645-0766",
            "fax_number": "928-645-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N NAVAJO DRIVE",
            "address_2": "POB 1447",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "86040",
            "telephone_number": "928-645-0766",
            "fax_number": "928-645-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSON",
        "first_name": "AARON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "005875",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "005875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Page, AZ

Sources for this page

Verify at the official NPI Registry.