Doc Martins Inc A C C
NPI 1699724039ActiveOrganization· Family Medicine· Flagstaff, AZ
Family Medicine in Flagstaff, Arizona, registered in NPPES in May 2006. The authorized official on file is Emily Castillo, Regional Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699724039 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2006 |
| Last updated in NPPES | Jul 25, 2024 |
| Certified by provider | Jul 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 32052 | AZ |
| Internal Medicine | 207R00000X | 32051 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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