Northern Arizona Allergy Group LLC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

NORTHERN ARIZONA ALLERGY GROUP LLC

Practice address

3130 Stillwater Dr Ste B
Prescott, AZ 86305-7199

Phone

(928) 244-7540

Fax

(928) 237-5090

NPI assigned

Jul 13, 2018

Organization subpart

No

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

Authorized official

Name

Rahmat Afrasiabi, MDNPI 1811961204

Title

Owner

Phone

(928) 224-7540

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rahmat Afrasiabi, M.D.

  • Allergy Physician
  • Prescott, AZ
  • NPI 1811961204
  Medicare reassignment NPD Authorized official
• Aaron Randall Degroot, DO

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1841360484
  NPD (past)

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1922584812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 STILLWATER DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057199",
            "telephone_number": "928-244-7540",
            "fax_number": "928-237-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 STILLWATER DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057199",
            "telephone_number": "928-244-7540",
            "fax_number": "928-237-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA ALLERGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "AFRASIABI",
        "authorized_official_first_name": "RAHMAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-224-7540",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel P Noble, MD
• Melanie Nordin-Pyle, LMSW
• Jayne Peters Nordstrom, MT-BC
• Lisa Norman, RDN, CNSC
• Jessica Rachel Norris, MOT
• Northern Arizona Center for Addiction, LLC
• Northern Arizona Endodontics
• Northern Arizona Family Therapy
• Northern Arizona Oncology Centers LLC
• Northern Az Council of Goverments

• Allergy Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Allergy Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.