JEFFERY CARLETON NORTHUP DO
NPI 1760595342
Specialist in Show Low, AZ

Q: What is Jeffery Northup's NPI number?

The NPI number for Jeffery Northup is 1760595342. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Jeffery Northup's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffery Northup was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 16, 2006

5171 CUB LAKE ROAD, BLDG B SUITE 210, SHOW LOW, AZ 85901(800) 344-8299(928) 537-4437 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jeffery Carleton Northup Do NPPES

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

JEFFERY CARLETON NORTHUP DO (NPI 1760595342) is an individual specialist in Show Low, Arizona, licensed in Arizona (1447) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1760595342

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJEFFERY CARLETON NORTHUPCredential: DO

Location Address5171 CUB LAKE ROAD, BLDG B SUITE 210Show Low, AZ 85901

Mailing Address5171 Cub Lake Road, Bldg B Suite 210Show Low, AZ 85901 · (800) 344-8299 · Fax (928) 537-4437

Phone(800) 344-8299

Fax(928) 537-4437

Sole ProprietorYes

Enumeration DateAugust 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1760595342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AZ · 1447

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.

5171 CUB LAKE ROAD, Show Low, AZ 85901

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Other Identifiers 3

Medicare UPINE20686AZ

Medicare ID-Type UnspecifiedD01447AAZ

Medicaid227654-02AZ

Other Providers at the Same Location NPPES 2

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

MOUNTAIN PEDIATRICS CLINIC PLLC

Pediatrics

5171 CUB LAKE ROAD, SUITE B230
SHOW LOW, AZ 85901

Navajo County (928) 537-3500

MICHAEL J SNOW DDS

Dentist (General Practice)

5171 CUB LAKE ROAD, BUILDING B SUITE 260
SHOW LOW, AZ 85901

Navajo County (928) 532-7669

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 Jeffery Northup's NPI number?

The NPI number for Jeffery Northup is 1760595342. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Jeffery Northup located?

Jeffery Northup practices at 5171 Cub Lake Road Bldg B Suite 210, Show Low, AZ 85901. The listed phone number is (800) 344-8299.

What is Jeffery Northup'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 Jeffery Northup was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.