AGASSIZ FAMILY MEDICINE
NPI 1477726222
Family Medicine in Flagstaff, AZ

NPI Status: Active since April 11, 2008

Contact Information

417 N AGASSIZ ST
BLDG #1
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 779-6169
Fax: (928) 779-4200

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  • Organization
  • Family Medicine
  • CLIA Number: 03D0720602
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About AGASSIZ FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Agassiz Family Medicine, a primary care provider established in Flagstaff, Arizona operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1477726222 assigned on April 2008. The practitioner's primary taxonomy code is 207Q00000X with license number AZ11476 (AZ). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Agassiz Family Medicine. The authorized official of this NPI record is Mr. Mark Vincent Seby M.d. (Physician)

NPI
1477726222
Provider Legal Name
MARK SEBY MD PC
Other Organization Name
AGASSIZ FAMILY MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
417 N AGASSIZ ST BLDG #1 FLAGSTAFF, AZ 86001
Location Phone
(928) 779-6169
Location Fax
(928) 779-4200
Mailing Address
417 N AGASSIZ ST BLDG #1 FLAGSTAFF, AZ 86001
Mailing Phone
(928) 779-6169
Mailing Fax
(928) 779-4200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2008
Last Update Date
12-30-2010
Code Navigator

A primary care provider (PCP) like Agassiz Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
AZ11476
License State
AZ
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARK VINCENT SEBY M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(928) 779-6169

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
87726OTHER (01)AZUNITED HEALTHCARE
D37618MEDICARE UPIN (02)AZ 
23957601MEDICAID (05)AZ 
Z63389MEDICARE PIN (08)AZ 
5447372OTHER (01)AZAETNA
080008588OTHER (01)AZRAILROAD MEDICARE
AZ0021730OTHER (01)AZBLUE CROSS BLUE SHIELD AZ
188857300OTHER (01)AZUS DEPT OF LABOR
3323257OTHER (01)AZCIGNA
1Z8845OTHER (01)AZHEALTHNET AZ
71412OTHER (01)AZMUTUAL OF OMAHA

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
03D0720602
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MARK V. SEBY
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Agassiz Family Medicine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for AGASSIZ FAMILY MEDICINE

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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 1477726222, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 7 → 14 → 5 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 4 + 2 + 1 + 2 + 2 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1477726222.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
417 N AGASSIZ ST, BLDG 1
FLAGSTAFF, AZ 86001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477726222, enumerated as an "organization" on April 11, 2008.

The provider is located at 417 N AGASSIZ ST BLDG #1 FLAGSTAFF, AZ 86001 and the phone number is (928) 779-6169.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Railroad Medicare, Blue. Please consult your insurance carrier or call the provider to verify.