Active NPI
Replogle Medical Clinic, Inc.
- Primary Care Clinic/Center
- Yuma, AZ
National Provider Identifier
1629252945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 2757
- Legal business name
- REPLOGLE MEDICAL CLINIC, INC.
- Practice address
- 11871 S Fortuna Rd
Yuma, AZ 85367-7686 - Phone
- (928) 342-9020
- Fax
- (928) 342-2158
- NPI assigned
- Dec 21, 2007
- Last updated
- Dec 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen P Replogle, D.O.
- Title
- Physician
- Phone
- (928) 342-9020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 2757 | AZ | Primary |
Addresses
Primary practice location
11871 S Fortuna Rd
Yuma, AZ 85367-7686
Mailing address
11871 S Fortuna Rd
Yuma, AZ 85367-7686
Phone (928) 342-9020
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Yuma, AZ
- NPI 1740297175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198195200000",
"number": "1629252945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11871 S FORTUNA RD",
"city": "YUMA",
"state": "AZ",
"postal_code": "853677686",
"telephone_number": "928-342-9020",
"fax_number": "928-342-2158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11871 S FORTUNA RD",
"city": "YUMA",
"state": "AZ",
"postal_code": "853677686",
"telephone_number": "928-342-9020",
"fax_number": "928-342-2158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REPLOGLE MEDICAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-21",
"last_updated": "2007-12-21",
"status": "A",
"authorized_official_last_name": "REPLOGLE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "928-342-9020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "AZ",
"license": "2757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.