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FLAGSTAFF SURGICAL ASSOCIATES PA NPI 1114995271


NPI Information

NPI: 1114995271
Provider Name: FLAGSTAFF SURGICAL ASSOCIATES PA
Classification: Surgery - 2086S0102X
Entity Type: Organization

Specialization: Surgical Critical Care

CLIA Number: 03D1103484

Address:
77 W FOREST AVE STE 201
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-2222
Get Directions

FLAGSTAFF SURGICAL ASSOCIATES PA is a surgical critical care surgery in Flagstaff, AZ. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. FLAGSTAFF SURGICAL ASSOCIATES PA NPI is 1114995271. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

77 W FOREST AVE STE 201
FLAGSTAFF, AZ
ZIP 86001-483
Phone: (928) 773-2222
Fax: (928) 773-2598

The provider's authorized official is Kimberly Valenzuela .
The authorized official title is Business Office Manager and has the following contact phone number (928) 773-2222.

The CLIA number assigned to this NPI record is 03D1103484 - physician office with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 4/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0102XSurgerySurgical Critical CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.