Forest Canyon Endoscopy & Surgery Ctr PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSC3471 Issued in AZ

Legal business name

FOREST CANYON ENDOSCOPY & SURGERY CTR PC

Practice address

560 N Switzer Canyon Dr
Flagstaff, AZ 86001-4844

Phone

(928) 774-3044

Fax

(928) 774-7107

NPI assigned

Aug 25, 2005

Last updated

Jul 31, 2025By 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

Tricia K Fordyce

Title

Director

Phone

(928) 774-3044

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Forest Canyon Endoscopy and Surgery Ctr PCCCN 03C0001268

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

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.

• Daniel Hoehle Downs, MD

  • Otolaryngology Physician
  • Flagstaff, AZ
  • NPI 1831182831
  NPD
• Joan C Mitrius, M.D.

  • Gastroenterology Physician
  • Flagstaff, AZ
  • NPI 1356306724
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1679566582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N SWITZER CANYON DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014844",
            "telephone_number": "928-774-3044",
            "fax_number": "928-774-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N SWITZER CANYON DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014844",
            "telephone_number": "928-774-3044",
            "fax_number": "928-774-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST CANYON ENDOSCOPY & SURGERY CTR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "FORDYCE",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-774-3044"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC3471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "03-C0001268",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Loyal Fofanova, LCSW
• Karlee Nicole Folkesson
• For Your Family, Co.
• Evenstar Amelia Forbach, DNP
• Julia Elizabeth Forberg, MD
• Forest Canyon Endoscopy &Surgery Ctr PC
• Forest Country Anesthesia, P.C.
• Forkela, LLC (Vuori Health)
• Lindsey Marie Forstie, FNP
• Kelly K. Fosberg, PT, DPT, PHD, OCS

• Ambulatory Surgical Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.