Flagstaff Surgical Associates PA
NPI 1114995271 · Surgical Critical Care Physician · Flagstaff, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Flagstaff Surgical Associates PA is a Surgical Critical Care Physician organization in Flagstaff, AZ (NPI 1114995271).
Provider details
- NPI number
- 1114995271
- Entity type
- Organization
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Wilson, Manager(928) 773-2572
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 77 W Forest Ave Ste 212Flagstaff, AZ 86001-1481Phone: (928) 773-2222Fax: (928) 773-2598
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Frequently asked questions
- What is Flagstaff Surgical Associates PA's NPI number?
- Flagstaff Surgical Associates PA's National Provider Identifier (NPI) is 1114995271, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Flagstaff Surgical Associates PA?
- Flagstaff Surgical Associates PA is classified in the NPPES registry as Surgical Critical Care Physician (Allopathic & Osteopathic Physicians).
- Where is Flagstaff Surgical Associates PA located?
- Flagstaff Surgical Associates PA's practice location on file with NPPES is 77 W Forest Ave Ste 201, Flagstaff, AZ 86001-1483.
- What is Flagstaff Surgical Associates PA's phone number?
- The practice phone number listed in the NPPES registry for Flagstaff Surgical Associates PA is (928) 773-2222.
- Does Flagstaff Surgical Associates PA accept Medicare?
- Flagstaff Surgical Associates PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Flagstaff Surgical Associates PA?
- The authorized official listed on Flagstaff Surgical Associates PA's NPPES record is Daniel Wilson, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Flagstaff Surgical Associates PA's NPI active?
- Yes — Flagstaff Surgical Associates PA's NPI (1114995271) is active in the NPPES registry as of the last update on 2025-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.