Organization Active NPI

Noraz Surgical Assists

  • Surgical Physician Assistant
  • Flagstaff, AZ
National Provider Identifier
1679942668
Registry record updated Sep 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
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

Updated by the provider on Sep 19, 2015

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

Authorized official

Name
Joel Packard, CSFANPI 1972990851
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)CodeLicenseStatePrimary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.