FOREST CANYON ENDOSCOPY &SURGERY CTR PC
NPI 1033370119
Specialist in Flagstaff, AZ

Active since June 20, 2008CLIA 03D1014402 · Waiver
560 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001(928) 774-3044(928) 774-7107 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Forest Canyon Endoscopy &surgery Ctr Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOREST CANYON ENDOSCOPY &SURGERY CTR PC (NPI 1033370119) is a healthcare organization registered as a specialist in Flagstaff, Arizona and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Kathy Duncan, Executive Admin, as its authorized official.

NPPES Registry Identity

NPI1033370119
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFOREST CANYON ENDOSCOPY &SURGERY CTR PC
Location Address560 N SWITZER CANYON DRFlagstaff, AZ 86001-4844
Mailing Address560 N Switzer Canyon DrFlagstaff, AZ 86001-4844 · (928) 774-3044 · Fax (928) 774-7107
Fax(928) 774-7107
Organization SubpartNo
Authorized OfficialKathy DuncanExecutive Admin · (928) 774-3044
Enumeration DateJune 20, 2008
Last NPPES UpdateAugust 1, 2008
NPI 1033370119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AZ · 07653166J
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
560 N SWITZER CANYON DR, Flagstaff, AZ 86001

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1014402

Forest Canyon Endoscopy And Surgery Center, PC · Flagstaff, AZ
Active · expires Jul 2, 2027
CLIA Number03D1014402
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorWilliam J. Badger
Laboratory Phone(928) 774-3044
Laboratory LocationForest Canyon Endoscopy And Surgery Center, PC560 N Switzer Canyon Drive, Flagstaff, AZ 86001
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
560 N SWITZER CANYON DR
FLAGSTAFF, AZ 86001
Clinic/Center (Ambulatory Surgical)
560 N SWITZER CANYON DR
FLAGSTAFF, AZ 86001
Anesthesiology
560 N SWITZER CANYON DR
FLAGSTAFF, AZ 86001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Forest Canyon Endoscopy &surgery Ctr PC's NPI number?

The NPI number for Forest Canyon Endoscopy &surgery Ctr PC is 1033370119. It was assigned to this organization in the NPPES registry on June 20, 2008.

Where is Forest Canyon Endoscopy &surgery Ctr PC located?

Forest Canyon Endoscopy &surgery Ctr PC is located at 560 N Switzer Canyon Dr, Flagstaff, AZ 86001. The listed phone number is (928) 774-3044.

What is Forest Canyon Endoscopy &surgery Ctr PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Forest Canyon Endoscopy &surgery Ctr PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1014402) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Forest Canyon Endoscopy &surgery Ctr PC was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.