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GREGG P STANDAGE MD
NPI 1235416918
Specialist in Prescott, AZ

Active since November 09, 2011
705 W HILLSIDE AVE, PRESCOTT, AZ 86301(928) 348-1374(928) 348-1375 Get Directions Write a Review

NPPES record last updated: December 27, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Gregg P Standage Md NPPES

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

GREGG P STANDAGE MD (NPI 1235416918) is a healthcare organization registered as a specialist in Prescott, Arizona and active in the NPI registry since November 2011. The organization lists Gregg P Standage, Md, as its authorized official.

NPPES Registry Identity

NPI1235416918
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGREGG P STANDAGE MD
Location Address705 W HILLSIDE AVEPrescott, AZ 86301-1938
Mailing Address1515 S 20th AveSafford, AZ 85546-4009 · (928) 348-1374 · Fax (928) 348-1375
Phone(928) 348-1374
Fax(928) 348-1375
Organization SubpartNo
Authorized OfficialGregg P StandageMd · (928) 348-1374
Enumeration DateNovember 9, 2011
Last NPPES UpdateDecember 27, 2011
✔ NPI 1235416918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 22289
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.
705 W HILLSIDE AVE, Prescott, AZ 86301
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Other Identifiers 1

Medicaid356586AZ

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

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 Gregg P Standage MD's NPI number?

The NPI number for Gregg P Standage MD is 1235416918. It was assigned to this organization in the NPPES registry on November 9, 2011.

Where is Gregg P Standage MD located?

Gregg P Standage MD is located at 705 W Hillside Ave, Prescott, AZ 86301. The listed phone number is (928) 348-1374.

What is Gregg P Standage MD's specialty?

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

When was this NPI record last updated?

The NPPES record for Gregg P Standage MD was last updated on December 27, 2011. 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.