FLAGSTAFF SURGICAL ASSOCIATES PA
NPI 1114995271
Surgery - Surgical Critical Care in Flagstaff, AZ
NPI Status: Active since March 14, 2006
Contact Information
77 W FOREST AVE STE 201
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-2222
Fax: (928) 773-2598
- Organization
- Surgery
- Surgical Critical Care
- Accepts Insurance
- CLIA Number: 03D1103484
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-30-2026
About FLAGSTAFF SURGICAL ASSOCIATES PA
This page provides the complete NPI Profile along with additional information for Flagstaff Surgical Associates Pa, a provider established in Flagstaff, Arizona operating as a Surgery, focusing in surgical critical care . The healthcare provider is registered in the NPI registry with number 1114995271 assigned on March 2006. The practitioner's primary taxonomy code is 2086S0102X. The provider is registered as an organization and their NPI record was last updated one year ago. Flagstaff Surgical Associates Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Daniel Lee Wilson (Manager)
- NPI
- 1114995271
- Provider Name
- FLAGSTAFF SURGICAL ASSOCIATES PA
- Entity Type
- Organization
- Location Address
- 77 W FOREST AVE STE 201 FLAGSTAFF, AZ 86001
- Location Phone
- (928) 773-2222
- Location Fax
- (928) 773-2598
- Mailing Address
- 77 W FOREST AVE STE 201 FLAGSTAFF, AZ 86001
- Mailing Phone
- (928) 773-2222
- Mailing Fax
- (928) 773-2598
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-14-2006
- Last Update Date
- 10-24-2025
- Code Navigator
Location Map
Secondary Locations
- 77 W Forest Ave Ste 212
Flagstaff, AZ 86001
(928) 773-2222
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Surgical Critical Care
- Taxonomy Code
- 2086S0102X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D1103484
- Facility Type
- Physician Office
- Certificate Effective Date
- December 01, 2024
- Certificate Expiration Date
- November 30, 2026
- Laboratory Director
- WILLIAM BADGER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Flagstaff Surgical Associates Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114995271, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114995271, enumerated as an "organization" on March 14, 2006.
The provider is located at 77 W FOREST AVE STE 201 FLAGSTAFF, AZ 86001 and the phone number is (928) 773-2222.
Surgery with taxonomy code 2086S0102X and a focus in Surgical Critical Care.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health and Imperial. Please consult your insurance carrier or call the provider to verify.
