Mary Pasternacki Family Healthcare

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARY PASTERNACKI FAMILY HEALTHCARE

Practice address

1016 W University Ave
Suite 206
Flagstaff, AZ 86001-2994

Phone

(928) 266-1530

Fax

(928) 226-1531

NPI assigned

Mar 28, 2016

Organization subpart

No

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

Authorized official

Name

Mary A Pasternacki, NPNPI 1275690331

Title

Owner

Phone

(928) 600-0640

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Mary Ann Pasternacki, RN, FNP-C

  • Family Nurse Practitioner
  • Flagstaff, AZ
  • NPI 1275690331
  Medicare reassignment NPD Authorized official
• Lonny David Elson, NP

  • Primary Care Nurse Practitioner
  • Flagstaff, AZ
  • NPI 1912192048
  NPD

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1972965051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W UNIVERSITY AVE",
            "address_2": "SUITE 206",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012994",
            "telephone_number": "928-266-1530",
            "fax_number": "928-226-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W UNIVERSITY AVE",
            "address_2": "SUITE 206",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012994",
            "telephone_number": "928-266-1530",
            "fax_number": "928-226-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY PASTERNACKI FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "PASTERNACKI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-600-0640",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Loeffelbein Martin, MD
• Susan C. Martin, MA CCC-SLP
• Timothy F Martin, DC
• Travis Jay Martinez
• John Sterling Marvel, D.O.
• James P Marzolf, DDS, PC
• Rebecca Maslar, WHNP-BC
• Nevitta J Mason, LPC
• James L Mast, DDS
• Peter Mathern, M.D.

• 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 Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.