Aaron Knudson, D.O.

Key facts

NPI

1447417951

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

005875 (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

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Banner Hospital Based Physicians Arizona LLC Multi-Specialty Clinic/Center · San Tan Valley, AZ · NPI 1275889891
  Medicare reassignment Care Compare group NPD AZ
• Emergency Physicians Southwest, PC Emergency Medicine Physician · Mesa, AZ · NPI 1912053752
  Medicare reassignment NPD AZ
• Emergency Professional Services PC Emergency Medicine Physician · Phoenix, AZ · NPI 1518984210
  Medicare reassignment NPD AZ
• Page Hospital Critical Access Hospital · Page, AZ · NPI 1578515789
  Medicare reassignment NPD AZ
• Banner Hospital Based Physicians Arizona LLC Multi-Specialty Clinic/Center · Page, AZ · NPI 1316294242
  NPD
• Banner Hospital Based Physicians Arizona LLC Critical Care Medicine (Internal Medicine) Physician · Phoenix, AZ · NPI 1780445171
  NPD
• Banner Primary Care Physicians Arizona LLC Primary Care Clinic/Center · Phoenix, AZ · NPI 1659640902
  NPD
• Creek Valley Health Clinic Federally Qualified Health Center (FQHC) · Colorado City, AZ · NPI 1821652793
  NPD FAMILY MEDICINE
• Emergency Professional Services PC Emergency Medicine Physician · Apache Junction, AZ · NPI 1205273406
  NPD
• Emergency Professional Services, PC Emergency Medicine Physician · Page, AZ · NPI 1104151786
  NPD
• Page Hospital Rural Health Clinic/Center · Page, AZ · NPI 1902317829
  NPD

Hospital & facility affiliations 2

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

• Page Hospital Critical Access Hospital · Page, AZ · NPI 1578515789
  Care Compare affiliation Hospital
• Ihc Health Services, Inc. General Acute Care Hospital · St George, UT · NPI 1366452880
  Care Compare affiliation Hospital

Owned or controlled facilities with NPI records 1

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

• Creek Valley Health Clinic Federally Qualified Health Center (FQHC) · Colorado City, AZ · NPI 1821652793
  CMS ownership OTHER

Medicare Care Compare profile

Specialty

Internal Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banner Hospital Based Physicians Arizona LLC (636 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Page Hospital Hospital · Page, AZ · CCN 031304
• St. George Regional Hospital Hospital · St George, UT · CCN 460021

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 1

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

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 15, 2012.

{
    "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": []
}

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All providers in Page, AZ · Internal Medicine Physician in Arizona