Mary Catherine Porvaznik, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22035 Issued in AZ

Practice address

1501 S Yale St Ste 2
Flagstaff, AZ 86001-7304

Phone

(928) 527-4325

Fax

(928) 527-4327

NPI assigned

Oct 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Uniformed Services Uhs Fe Hebert School of Med, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health of Arizona No 5 Home health agency, Flagstaff, AZ, CCN 037500
• Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: porvaznikfamilymedicine.maryporvaznik@160891.advancedmd-direct.com

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.

• Porvaznik Family Medicine PLLC

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1366278913
  Medicare reassignment NPD Authorized official
• Doc Martins Inc a C C

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1699724039
  Medicare reassignment NPD
• Greater Phoenix Collaborative Care PC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1750686614
  Medicare reassignment NPD
• Greater Phoenix Collaborative Care PC

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1790581742
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• E Medical Group of Arizona No 5 LLC

  • Home Health Agency
  • Flagstaff, AZ
  • NPI 1730728502
  Care Compare affiliation
• Flagstaff Medical Center

  • Air Ambulance
  • Flagstaff, AZ
  • NPI 1427234111

  Hospital

  Care Compare affiliation
• Flagstaff Medical Center

  • Land Ambulance
  • Flagstaff, AZ
  • NPI 1518143205

  Hospital

  Care Compare affiliation
• Flagstaff Medical Center

  • Psychiatric Hospital Unit
  • Flagstaff, AZ
  • NPI 1649370875
  Care Compare affiliation
• Flagstaff Medical Center

  • General Acute Care Hospital
  • Flagstaff, AZ
  • NPI 1780635078
  Care Compare affiliation

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1871582635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S YALE ST STE 2",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017304",
            "telephone_number": "928-527-4325",
            "fax_number": "928-527-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S YALE ST STE 2",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017304",
            "telephone_number": "928-527-4325",
            "fax_number": "928-527-4327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 E Oak Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860011818",
            "country_code": "US",
            "telephone_number": "928-913-8809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 S Yale St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860017304",
            "country_code": "US",
            "telephone_number": "928-527-4325",
            "fax_number": "928-527-4327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORVAZNIK",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "22035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50553771",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z3755",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434853",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Pomeroy
• Ponderosa Pines Care and Rehab, Inc
• Mary Carolina Poore, NATUROPATHIC DOCTOR
• Cezar M Popescu, LPC
• Porvaznik Family Medicine PLLC
• Andrew Post, MA
• Kaitlyn E Post, DPT
• Rebecca Poulter, PHARMD
• Jacquelyn Povilaitis, PT, DPT
• Robert Andre Powell II, M.S.

• Family Medicine Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.