NPIMap

Organization Active NPI

Northern Arizona Medical Group PLLC

  • Internal Medicine Physician
  • Kingman, AZ
National Provider Identifier
1790948495
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32218 Issued in AZ
Legal business name
NORTHERN ARIZONA MEDICAL GROUP PLLC
Practice address
3879 N Painted TRL
Kingman, AZ 86409-1244
Phone
(928) 757-1333
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Zaffar Iqbal, MDNPI 1316137169
Title
Owner
Phone
(928) 757-1333

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 32218 AZ Primary

Addresses

Primary practice location

3879 N Painted TRL
Kingman, AZ 86409-1244

Mailing address

3879 N Painted TRL
Kingman, AZ 86409-1244

National Provider Directory

National Provider Directory
Tax ID family
Northern Arizona MG PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1790948495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 N PAINTED TRL",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864091244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3879 N PAINTED TRL",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864091244",
            "telephone_number": "928-757-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "ZAFFAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-757-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "32218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.