FLAGSTAFF SURGICAL ASSOCIATES PA
NPI 1114995271
Surgery - Surgical Critical Care in Flagstaff, AZ

Q: What is Flagstaff Surgical Associates PA's NPI number?

The NPI number for Flagstaff Surgical Associates PA is 1114995271. It was assigned to this organization in the NPPES registry on March 14, 2006.

Q: What is Flagstaff Surgical Associates PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Active since March 14, 2006CLIA 03D1103484 · Waiver

77 W FOREST AVE STE 201, FLAGSTAFF, AZ 86001(928) 773-2222(928) 773-2598 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2020, Nov 16, 2018 (2 updates tracked since 2018).

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About Flagstaff Surgical Associates Pa NPPES

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

FLAGSTAFF SURGICAL ASSOCIATES PA (NPI 1114995271) is a healthcare organization registered as a surgical critical care in Flagstaff, Arizona and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through November 30, 2026, maintains a secondary practice location in Flagstaff, and lists Daniel Lee Wilson, Manager, as its authorized official.

NPPES Registry Identity

NPI1114995271

Entity TypeOrganization

Primary Taxonomy2086S0102X

Legal Business NameFLAGSTAFF SURGICAL ASSOCIATES PA

Location Address77 W FOREST AVE STE 201Flagstaff, AZ 86001-1483

Mailing Address77 W Forest Ave Ste 201Flagstaff, AZ 86001-1483 · (928) 773-2222 · Fax (928) 773-2598

Phone(928) 773-2222

Fax(928) 773-2598

Organization SubpartNo

Authorized OfficialDaniel Lee WilsonManager · (928) 773-2572

Enumeration DateMarch 14, 2006

Last NPPES UpdateOctober 24, 20252 updates tracked since enumeration

NPPES CertifiedOctober 24, 2025

✔ NPI 1114995271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

Definition

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.

77 W FOREST AVE STE 201, Flagstaff, AZ 86001

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Secondary Practice Location 1

Location 177 W Forest Ave Ste 212Flagstaff, AZ 86001-1481 · Phone (928) 773-2222 ext. 5 · Fax (928) 773-2598

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Imperial Insurance Companies, Inc..Insurance ›

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 03D1103484

Flagstaff Surgical Associates · Flagstaff, AZ

Active · expires Nov 30, 2026

CLIA Number03D1103484

Laboratory TypePhysician Office

Certificate Effective DateDecember 1, 2024

Certificate Expiration DateNovember 30, 2026

Laboratory DirectorWilliam Badger

Laboratory Phone(928) 773-2222

Laboratory LocationFlagstaff Surgical Associates77 W Forest Ave Suite 201, Flagstaff, AZ 86001

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

DR. WILLIAM JOHN BADGER M.D.

Urology