DR. STEPHANIE D MARTINEZ HAWTHORNE M.D. NPI 1003872037

Internal Medicine (Gastroenterology) in Flagstaff, AZ

About STEPHANIE MARTINEZ HAWTHORNE

Stephanie Martinez Hawthorne is a provider in Flagstaff, AZ with more than 20 years of experience. The NPI number assigned to this provider is 1003872037. The practitioner's primary taxonomy code is Internal Medicine (207RG0100X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Stephanie Martinez Hawthorne is registered with Medicare and accepts claims assignment.

NPI1003872037 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. STEPHANIE D MARTINEZ HAWTHORNE M.D.
Provider Location Address77 W FOREST AVE STE 210 FLAGSTAFF, AZ 86001 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address77 W FOREST AVE STE 210 FLAGSTAFF, AZ 86001 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameUNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Graduation Year1998
Is Sole Proprietor?N/A
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-26-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. STEPHANIE D MARTINEZ HAWTHORNE M.D.
77 W FOREST AVE
STE 210
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-2547
Fax: (928) 773-2548
Get Directions

Mailing Address

DR. STEPHANIE D MARTINEZ HAWTHORNE M.D.
77 W FOREST AVE
STE 210
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-2547
Fax: (928) 773-2548

Primary Taxonomy

Taxonomy Code207RG0100X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.29691
License StateAZ
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
H67764MEDICARE UPIN (02)AZ
709107MEDICAID (05)AZ
79868MEDICARE ID-TYPE UNSPECIFIED (04)AZ

Map Location


DR. STEPHANIE D MARTINEZ HAWTHORNE M.D. address is 77 W FOREST AVE STE 210 FLAGSTAFF, AZ 86001

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013985191 DANIEL E WESCHE MD
Individual
Surgery77 W FOREST AVE SUITE 201
FLAGSTAFF, AZ 86001
(928) 773-2222
1053303321 BARBARA L. BOSCH M.D.
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1093707804 LEE B MCGAREY MD
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1114995271FLAGSTAFF SURGICAL ASSOCIATES PA
Organization
Surgery77 W FOREST AVE SUITE 201
FLAGSTAFF, AZ 86001
(928) 773-2222
1134126725 TODD ALAN DINGMAN DDS,MD
Individual
Dentist (Oral and Maxillofacial Surgery)77 W FOREST AVE STE 107
FLAGSTAFF, AZ 86001
(928) 773-2530
1184616997 RON L TUCKMAN MD
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1235133059MS. GRETCHEN KARR SCHABER NURSE PRACTITIONER
Individual
Nurse Practitioner (Adult Health)77 W FOREST AVE STE 302
FLAGSTAFF, AZ 86001
(928) 214-0470
1356333165 MARY ALLICE BERGER MD
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1467436659 FRANCIS XAVIER MAHER III M.D.
Individual
Orthopaedic Surgery77 W FOREST AVE SUITE 301
FLAGSTAFF, AZ 86001
(928) 773-2535
1487623476 PAUL E LUNDSTROM MD
Individual
Surgery77 W FOREST AVE SUITE 201
FLAGSTAFF, AZ 86001
(928) 773-2222
1487651071ORAL AND MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA
Organization
Dentist (Oral and Maxillofacial Pathology)77 W FOREST AVE STE 107
FLAGSTAFF, AZ 86001
(928) 773-2530
1578535464 DAVID SCOTT BROWN
Individual
Physician Assistant (Medical)77 W FOREST AVE SUITE 301
FLAGSTAFF, AZ 86001
(928) 773-2538
1629060439 SHEILA M MACKELL MD
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1699772061 LORIN DEAN PETERSON DMD
Individual
Dentist (Oral and Maxillofacial Pathology)77 W FOREST AVE STE 107
FLAGSTAFF, AZ 86001
(928) 773-2530
1700860996 DARIUS MIRZA MOEZZI M.D.
Individual
Orthopaedic Surgery77 W FOREST AVE SUITE 301
FLAGSTAFF, AZ 86001
(928) 773-2280
1770567752 BERT MCKINNON M.D.
Individual
Orthopaedic Surgery77 W FOREST AVE SUITE 301
FLAGSTAFF, AZ 86001
(928) 773-2538
1912976879 AMY L DELEVA MD
Individual
Pediatrics77 W FOREST AVE STE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1912999582 PAULA D RAND MD
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1932191509 LAURIE K BROWN MD
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1942271788WHITE MOUNTAIN INTERNAL MEDICINE, PC
Organization
Internal Medicine77 W FOREST AVE SUITE 212
FLAGSTAFF, AZ 86001
(928) 774-3135