Gregg P Standage MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD22289 Issued in AZ

Legal business name

GREGG P STANDAGE MD

Practice address

1515 S 20TH Ave
Safford, AZ 85546-4009

Phone

(928) 348-1370

Fax

(928) 348-1375

NPI assigned

Jul 25, 2006

Last updated

Sep 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregg P Standage, MDNPI 1063443273

Title

Owner

Phone

(928) 348-1370

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Gregg Phillips Standage, M.D.

  • Internal Medicine Physician
  • Safford, AZ
  • NPI 1063443273
  NPD (past) Authorized official
• Mick Gene Drage, PA-C

  • Physician Assistant
  • Safford, AZ
  • NPI 1710935499
  NPD (past)
• George Thomas Rizk, M.D.

  • Cardiovascular Disease Physician
  • Prescott, AZ
  • NPI 1730145459
  NPD (past)
• Mayuree Siripoon, DNS, FNP-BC

  • Family Nurse Practitioner
  • Thatcher, AZ
  • NPI 1669754933
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1669495537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464009",
            "telephone_number": "928-348-1370",
            "fax_number": "928-348-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464009",
            "telephone_number": "928-348-1370",
            "fax_number": "928-348-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG P STANDAGE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "STANDAGE",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-348-1370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "MD22289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham County (Graham County Health Department)
• Graham County Health Department
• Graham County RC
• Graham County Rehabilitation Center
• Graham House LLC
• Kristopher Franz Gruber, PA-C
• Guardian Flight LLC
• Gail D Guerrero-Tucker, M.D.
• Craig M Hackett, ATC
• Randy Spencer Hann, PA-C

• Specialist in Safford, AZ
• Providers in Safford, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.

Verify at the official NPI Registry.