Neurofit Health PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

7036 Issued in AZ

Legal business name

NEUROFIT HEALTH PLLC

Practice address

1200 N. Beaver
Flagstaff, AZ 86001-3118

Phone

(928) 779-1162

Fax

(928) 779-1163

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Aaron Philip Shaw, PA-C

Title

Physician Assistant

Phone

(928) 779-1162

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valerie Van Ravenswaay, D.O.

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1376930669
  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1558849596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860021150",
            "telephone_number": "928-779-1162",
            "fax_number": "928-779-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N. BEAVER",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-779-1162",
            "fax_number": "928-779-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROFIT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "928-779-1162",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "7036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kymmberly Lynn Nesheim, M.S., CCC-SLP
• Rebecca Ness, LAC
• Holly Nester, P.T., M.P.T.
• Jennifer Ellyn Netzky, LCSW
• Dina Neuberger, M.S.
• Neurosurgical Specialists MGMT, PLLC
• New Life Wellness Flagstaff
• Anne M Newland, MD
• Angela Marie Newman, MS, RDN
• Sofia Newton

• Surgical Physician Assistant in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.