Individual provider Active NPI

Freeha Afshin Azher, MD

  • Family Medicine Physician
  • Bullhead City, AZ
National Provider Identifier
1447699897
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53235 Issued in AZ
Practice address
3706 Highway 95 Ste 101
Bullhead City, AZ 86442-8226
Phone
(928) 201-9286
Fax
(928) 219-4610
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16749 NV
Family Medicine Physician 207Q00000X 53235 AZ Primary

Addresses

Primary practice location

3706 Highway 95 Ste 101
Bullhead City, AZ 86442-8226

Mailing address

3706 Highway 95 Ste 101
Bullhead City, AZ 86442-8226
Phone (928) 201-9286

Other practice location 1

10652 S Eastern Ave
Suite A
Henderson, NV 89052-4952
Phone (702) 476-2040

Other practice location 2

1467 Palma Rd Ste 4
Bullhead City, AZ 86442
Phone (928) 763-5110

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
I20180212000931 AZ Practitioner - Family Practice 8527340736 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53235AZMDFamily Medicine Physician
16749NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Wound and Skin Care Inc Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Dadra Medical PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

1467 Palma Rd
Ste 4
Bullhead City, AZ 86442
Phone (561) 573-8521

3706 Highway 95
Ste 1
Bullhead City, AZ 86442
Phone (928) 201-9286

3706 Highway 95
Ste 101
Bullhead City, AZ 86442
Phone (928) 201-9286

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1447699897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 HIGHWAY 95 STE 101",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428226",
            "telephone_number": "928-201-9286",
            "fax_number": "928-219-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 HIGHWAY 95 STE 101",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428226",
            "telephone_number": "928-201-9286",
            "fax_number": "928-219-4610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10652 S Eastern Ave",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524952",
            "country_code": "US",
            "telephone_number": "702-476-2040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1467 Palma Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "86442",
            "country_code": "US",
            "telephone_number": "928-763-5110",
            "fax_number": "928-763-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZHER",
        "first_name": "FREEHA",
        "middle_name": "AFSHIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2022-09-23",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "16749",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "53235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.