Individual provider Active NPI

Alexander Q Lam, DO

  • Military Health Care Provider
  • Glendale, AZ
National Provider Identifier
1487281689
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
License
009348 Issued in AZ
Practice address
7219 N Litchfield Rd BLDG 1130
Glendale, AZ 85309-1529
Phone
(623) 856-2273
NPI assigned
Mar 26, 2020
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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 009348 AZ
Military Health Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 171000000X 009348 AZ Primary

Addresses

Primary practice location

7219 N Litchfield Rd BLDG 1130
Glendale, AZ 85309-1529

Mailing address

7219 N Litchfield Rd BLDG 1130
Luke AFB, AZ 85309-1529

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
I20230404000834 AZ Practitioner - Internal Medicine 5799100236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009348AZMDMilitary Health Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. CurrentSince Dec 1, 2023 Accepting new patients
North Country Healthcare, Inc. Multi-Specialty Current Accepting new patients
North Country Healthcare, Inc. Multi-Specialty Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Dec 1, 2023 Accepting new patients

Locations

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1487281689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD BLDG 1130",
            "city": "LUKE AFB",
            "state": "AZ",
            "postal_code": "853091529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD BLDG 1130",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853091529",
            "telephone_number": "623-856-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "ALEXANDER",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "009348",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": "AZ",
            "license": "009348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.