Active NPI
Molly Enenbach, DO
- Emergency Medicine Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 011641
- Practice address
- PO Box 67
Flagstaff, AZ 86002-0067 - Phone
- (602) 344-5011
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 13789671-1204 | UT | |
| Emergency Medicine Physician | 207P00000X | 011641 | AZ | Primary |
Addresses
Primary practice location
PO Box 67
Flagstaff, AZ 86002-0067
Mailing address
PO Box 67
Flagstaff, AZ 86002-0067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, UT, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 774-1693
Hospital & facility affiliations
- Verde Valley Medical Center
- Flagstaff Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011641 | AZ | MD | Emergency Medicine Physician |
| 13789671-1204 | UT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagstaff Emergency Physicians | Emergency Medicine | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478
127 S 500 E
Ste 400
Salt Lake City, UT 84102
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Flagstaff, AZ
- NPI 1073683991
-
- Vascular Surgery Physician
- Rock Springs, WY
- NPI 1104204361
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Infectious Disease Physician
- Salt Lake City, UT
- NPI 1033513833
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Clinical Cardiac Electrophysiology Physician
- Salt Lake City, UT
- NPI 1851795652
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1508446550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860020067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 67",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860020067",
"telephone_number": "602-344-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENENBACH",
"first_name": "MOLLY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "UT",
"license": "13789671-1204",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "011641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.