Active NPI
Michelle Doroz, DO
- Family Medicine Physician
- Flagstaff, AZ
National Provider Identifier
1891825022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4045
- Practice address
- 1501 S Yale St
BLDG 2 Suite 150
Flagstaff, AZ 86001-7304 - Phone
- (928) 527-4325
- Fax
- (928) 527-4327
- NPI assigned
- Mar 6, 2007
- Last updated
- Feb 25, 2013
- Sex
- Female
- 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 | 4045 | AZ | Primary |
| General Practice Physician | 208D00000X | DR-50509 | CO |
Addresses
Primary practice location
1501 S Yale St
BLDG 2 Suite 150
Flagstaff, AZ 86001-7304
Mailing address
3260 S Merryvale LN
Flagstaff, AZ 86001-6567
Phone (928) 527-4325
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46408371 | Medicaid | CO | |
| 1902162753 | Other | CO | BCBS |
| 881038 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winslow Indian Health Care Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Leupp Health Station
- Federal Public Health Clinic/Center
- Leupp, AZ
- NPI 1760652580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1891825022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 S MERRYVALE LN",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860016567",
"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",
"address_2": "BLDG 2 SUITE 150",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860017304",
"telephone_number": "928-527-4325",
"fax_number": "928-527-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOROZ",
"first_name": "MICHELLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "4045",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "DR-50509",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46408371",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1902162753",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "881038",
"state": "AZ"
}
],
"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 Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.