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STEPHANIE FOUNTAIN MD NPI 1528405917


NPI Information

NPI: 1528405917
Provider Name: STEPHANIE FOUNTAIN, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: NORTHERN ARIZONA PULMONARY ASSOCIATES LLC

PECOS Registration: Yes

Address:
1200 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-0003
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Stephanie Fountain, MD is a critical care medicine internal medicine in Flagstaff, AZ with 11 years of experience. The provider is an internist who 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. Stephanie Fountain, MD NPI is 1528405917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduation Year:2013

The provider's business location address is:

1200 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001-118
Phone: (928) 773-0003
Fax: (928) 773-1170

The NPI 1528405917 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/27/2013 and was last updated on 10/9/2019.


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
1207R00000XInternal MedicineR74044ARIZONANo
2207RP1001XInternal MedicinePulmonary Disease57715ARIZONANo
3207RC0200XInternal MedicineCritical Care Medicine57715ARIZONAYes

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: 11/14/2023

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.