Active NPI
High Mark Internal Medicine LP
- Internal Medicine Physician
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HIGH MARK INTERNAL MEDICINE LP
- Doing business as
- High Mark Internal Medicine
- Practice address
- 214 N McCormick St
Prescott, AZ 86301-2706 - Phone
- (928) 237-9800
- Fax
- (928) 237-9924
- NPI assigned
- Mar 7, 2022
- 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
- Erik Contreras
- Title
- Provider
- Phone
- (928) 899-2446
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
214 N McCormick St
Prescott, AZ 86301-2706
Mailing address
PO Box 20610
Mesa, AZ 85277-0610
Phone (928) 237-9800
Other names 1
- High Mark Internal Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2278806 | High Mark Internal Medicine | Certificate of waiver | Mar 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
3128 N Tani Rd
Prescott Vly, AZ 86314
Phone (928) 899-4761
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Prescott, AZ
- NPI 1265708416
-
- Family Nurse Practitioner
- Prescott, AZ
- NPI 1255157020
-
- Family Nurse Practitioner
- Prescott Valley, AZ
- NPI 1235877317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674518400000",
"number": "1689321903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20610",
"city": "MESA",
"state": "AZ",
"postal_code": "852770610",
"telephone_number": "928-237-9800",
"fax_number": "928-237-9924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 N MCCORMICK ST",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863012706",
"telephone_number": "928-237-9800",
"fax_number": "928-237-9924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH MARK INTERNAL MEDICINE LP",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-07",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A",
"authorized_official_last_name": "CONTRERAS",
"authorized_official_first_name": "ERIK",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "928-899-2446"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "High Mark Internal Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "High Mark Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.