Active NPI
Keith Charles Arnold, MD
- Family Medicine Physician
- Flagstaff, AZ
National Provider Identifier
1780117549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 62094
- Practice address
- 2001 N 4TH St
Flagstaff, AZ 86004-4227 - Phone
- (928) 527-4325
- NPI assigned
- Apr 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2018-02102 | NC | |
| Family Medicine Physician | 207Q00000X | 62094 | AZ | Primary |
Addresses
Primary practice location
2001 N 4TH St
Flagstaff, AZ 86004-4227
Mailing address
2001 N 4TH St
Flagstaff, AZ 86004-4227
Phone (828) 527-4325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| DHHS IHS Phoenix | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Irene Benn Medical Center | Current | Accepting new patients |
Locations
12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137
Organizations & group practices 5
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.
-
- Clinic/Center
- Supai, AZ
- NPI 1184901829
-
- Critical Access Hospital
- Parker, AZ
- NPI 1851678585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1780117549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N 4TH ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860044227",
"telephone_number": "828-527-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N 4TH ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860044227",
"telephone_number": "928-527-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "KEITH",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-09",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2018-02102",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "62094",
"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 Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.