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GRANITE MOUNTAIN NEUROLOGY, PC
NPI 1194784900
Psychiatry & Neurology - Neurology in Prescott, AZ

Active since March 21, 2006
802 AINSWORTH DR, SUITE B, PRESCOTT, AZ 86301(928) 771-2338(928) 771-2339 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Granite Mountain Neurology, Pc NPPES

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

GRANITE MOUNTAIN NEUROLOGY, PC (NPI 1194784900) is a healthcare organization registered as a neurology in Prescott, Arizona and active in the NPI registry since March 2006. The organization lists Donald A Golen, President, as its authorized official.

NPPES Registry Identity

NPI1194784900
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameGRANITE MOUNTAIN NEUROLOGY, PC
Location Address802 AINSWORTH DR, SUITE BPrescott, AZ 86301-1630
Mailing Address802 Ainsworth Dr, Suite BPrescott, AZ 86301-1630 · (928) 771-2338 · Fax (928) 771-2339
Phone(928) 771-2338
Fax(928) 771-2339
Organization SubpartNo
Authorized OfficialDonald A GolenPresident · (928) 771-2338
Enumeration DateMarch 21, 2006
Last NPPES UpdateFebruary 16, 2012
✔ NPI 1194784900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in AZ · 23522
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
802 AINSWORTH DR, Prescott, AZ 86301
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Other Identifiers 2

Medicare UPING15888AZ
Medicare ID-Type Unspecified65532AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MR. MATTHEW ALEXANDER NAMIHAS PA-C
Physician Assistant (Medical)
802 AINSWORTH DR, SUITE A
PRESCOTT, AZ 86301
Yavapai County (928) 776-0601
SOUTHWEST CENTER FOR COMMUNICATION DISORDERS
Social Worker (Clinical)
802 AINSWORTH DR, SUITE C
PRESCOTT, AZ 86301
Yavapai County (928) 777-0172
ARIZONA HEART INSTITUTE LTD PRESCOTT
Internal Medicine (Cardiovascular Disease)
802 AINSWORTH DR, SUITE A
PRESCOTT, AZ 86301
Yavapai County (928) 445-6025
DR. BALDWIN S. STUTTS III M.D.
Internal Medicine (Cardiovascular Disease)
802 AINSWORTH DR, SUITE A
PRESCOTT, AZ 86301
Yavapai County (928) 445-6025
J&G MEDICAL SERVICES PLLC
Obstetrics & Gynecology
802 AINSWORTH DR, SUITE C
PRESCOTT, AZ 86301
Yavapai County (928) 583-7887
DR. JEANETTE MARIE PILOTTE MD
Obstetrics & Gynecology
802 AINSWORTH DR, SUITE C
PRESCOTT, AZ 86301
Yavapai County (928) 583-7887

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 Granite Mountain Neurology, PC's NPI number?

The NPI number for Granite Mountain Neurology, PC is 1194784900. It was assigned to this organization in the NPPES registry on March 21, 2006.

Where is Granite Mountain Neurology, PC located?

Granite Mountain Neurology, PC is located at 802 Ainsworth Dr Suite B, Prescott, AZ 86301. The listed phone number is (928) 771-2338.

What is Granite Mountain Neurology, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Granite Mountain Neurology, PC was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.