Active NPI
Alexander Q Lam, DO
- Military Health Care Provider
- Glendale, AZ
National Provider Identifier
1487281689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 009348
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 009348 | AZ | |
| Military Health Care Provider | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230404000834 | AZ | Practitioner - Internal Medicine | 5799100236 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009348 | AZ | MD | Military Health Care Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Healthcare, Inc. | Current | 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. | Current | 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.
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1073583472
-
- Multi-Specialty Clinic/Center
- Show Low, AZ
- NPI 1073740098
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1619345675
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Williams, AZ
- NPI 1750691788
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.