Active NPI
Noraz Surgical Assists
- Surgical Physician Assistant
- Flagstaff, AZ
National Provider Identifier
1679942668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- NORAZ SURGICAL ASSISTS
- Practice address
- 50 Pine del Dr
Flagstaff, AZ 86005-9603 - Phone
- (928) 699-6786
- NPI assigned
- Sep 19, 2015
- 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
- Joel Packard, CSFA
- Title
- Owner
- Phone
- (928) 699-6786
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | |||
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
50 Pine del Dr
Flagstaff, AZ 86005-9603
Mailing address
50 Pine del Dr
Flagstaff, AZ 86005-9603
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442620800000",
"number": "1679942668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 PINE DEL DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860059603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 PINE DEL DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860059603",
"telephone_number": "928-699-6786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORAZ SURGICAL ASSISTS",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-19",
"last_updated": "2015-09-19",
"status": "A",
"authorized_official_last_name": "PACKARD",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-699-6786",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.