Steven D Washburn PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25791 Issued in AZ

Legal business name

STEVEN D WASHBURN PC

Practice address

4830 Highway 260
Ste 103
Lakeside, AZ 85929-5845

Phone

(928) 537-8777

Fax

(928) 537-1914

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven D Washburn, MD

Title

Owner

Phone

(928) 537-8777

Specialties & licenses 1

Addresses

Other names 1

• Arizona Mountain Orthopedics Other name

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1700979366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 HIGHWAY 260",
            "address_2": "STE 103",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295845",
            "telephone_number": "928-537-8777",
            "fax_number": "928-537-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 HIGHWAY 260",
            "address_2": "STE 103",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295845",
            "telephone_number": "928-537-8777",
            "fax_number": "928-537-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D WASHBURN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-537-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "25791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Mountain Orthopedics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Lakeside, AZ
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.