Doctor's Office LLC
NPI 1770732307ActiveOrganization· Family Medicine· Prescott, AZ
Family Medicine in Prescott, Arizona, registered in NPPES in September 2008. The authorized official on file is Josh Baker, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770732307 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2008 |
| Last updated in NPPES | Apr 12, 2023 |
| Certified by provider | Apr 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 3779 | 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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