NPIMap

Organization Active NPI

Compass Medical Center PLLC

  • General Practice Physician
  • Snowflake, AZ
National Provider Identifier
1811387285
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7221 Issued in AZ
Legal business name
COMPASS MEDICAL CENTER PLLC
Practice address
1300 S Main St
Snowflake, AZ 85937-5661
Phone
(928) 536-5525
Fax
(928) 484-6070
NPI assigned
Jan 23, 2015
Last updated
Jan 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Jusstin J Woodside
Title
Owner
Phone
(928) 536-5525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 7221 AZ Primary

Addresses

Primary practice location

1300 S Main St
Snowflake, AZ 85937-5661

Mailing address

1300 S Main St
Snowflake, AZ 85937-5661
Phone (928) 536-5525

National Provider Directory

National Provider Directory

Locations

1300 S Main St
Snowflake, AZ 85937
Phone (928) 536-5525

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1811387285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S MAIN ST",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375661",
            "telephone_number": "928-536-5525",
            "fax_number": "928-484-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MAIN ST",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375661",
            "telephone_number": "928-536-5525",
            "fax_number": "928-484-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "WOODSIDE",
        "authorized_official_first_name": "JUSSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-536-5525"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "7221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snowflake, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.