Individual provider Active NPI

Philip Garrod, M.D.

  • Family Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1770639775
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19759 Issued in AZ
Practice address
824 S. San Francisco St.
Flagstaff, AZ 86001
Phone
(928) 523-2131
Fax
(928) 523-1102
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19759 AZ Primary

Addresses

Primary practice location

824 S. San Francisco St.
Flagstaff, AZ 86001

Mailing address

PO Box 6033
BLDG 25, Nau
Flagstaff, AZ 86011-0181
Phone (928) 523-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19579AZMDClinical Social Worker
19759AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Willard Emergency Physicians Past Accepting new patients
Az BD of Regents for on Behalf of Northern Az University Past Accepting new patients
Verde Valley Medical Center Past Accepting new patients
Flagstaff Emergency Physicians Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1770639775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6033",
            "address_2": "BLDG 25, NAU",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860110181",
            "telephone_number": "928-523-2131",
            "fax_number": "928-523-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 S. SAN FRANCISCO ST.",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-523-2131",
            "fax_number": "928-523-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARROD",
        "first_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "19759",
            "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 Aug 15, 2011; 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.