Northern Arizona Medical Group, PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NORTHERN ARIZONA MEDICAL GROUP, PLLC

Practice address

3555 Western Ave
Kingman, AZ 86409-3291

Phone

(928) 757-8440

Fax

(928) 757-8448

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Zaffar Iqbal, MDNPI 1316137169

Title

Owner

Phone

(928) 757-8440

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Northern Arizona MG PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Arizona Medical Group PLLC

  • Internal Medicine Physician
  • Kingman, AZ
  • NPI 1790948495
  NPD tax ID

Practitioners 1

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

• Zaffar Iqbal, M.D.

  • Internal Medicine Physician
  • Kingman, AZ
  • NPI 1316137169
  NPD (past) Authorized official

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1669073748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 WESTERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093291",
            "telephone_number": "928-757-8440",
            "fax_number": "928-757-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WESTERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093291",
            "telephone_number": "928-757-8440",
            "fax_number": "928-757-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "ZAFFAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-757-8440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357676",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Country Healthcare, Inc.
• North Country Healthcare, Inc.
• North Country Healthcare, Inc.
• Northern Arizona General Surgical Group PC
• Northern Arizona Medical Group PLLC
• Northern Arizona Medical Group, PLLC
• Northern Arizona Medical Group, PLLC
• Northern Arizona Physical Therapy Associates
• Charles R Norwood, PHARMD
• Erin Novak, PA-C

• Clinical Medical Laboratory in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.