OrganizationActive
Scott R Hamblin MD, PC
NPI 1790974830 · Internal Medicine Physician · Eagar, AZ
Scott R Hamblin MD, PC is a Internal Medicine Physician organization in Eagar, AZ (NPI 1790974830).
Provider details
- NPI number
- 1790974830
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lori Lesueur, Office Manager(928) 333-5333
- License
- 23187 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
606 N Main St
Eagar, AZ 85925-9813
Phone: (928) 333-5333
Fax: (928) 333-5100
Street-level locationGet directions
Mailing address
Po Box 1610
Springerville, AZ 85938-1610
Other names (DBA / former)
- Doing business as
- Mountain Avenue Clinic
Registry dates
- Enumerated
- 2007-10-15
- Last updated
- 2009-08-27
Frequently asked questions
- What is Scott R Hamblin MD, PC's NPI number?
- Scott R Hamblin MD, PC's National Provider Identifier (NPI) is 1790974830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Scott R Hamblin MD, PC?
- Scott R Hamblin MD, PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Scott R Hamblin MD, PC located?
- Scott R Hamblin MD, PC's practice location on file with NPPES is 606 N Main St, Eagar, AZ 85925-9813.
- What is Scott R Hamblin MD, PC's phone number?
- The practice phone number listed in the NPPES registry for Scott R Hamblin MD, PC is (928) 333-5333.
- Who is the authorized official for Scott R Hamblin MD, PC?
- The authorized official listed on Scott R Hamblin MD, PC's NPPES record is Lori Lesueur, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Scott R Hamblin MD, PC's NPI active?
- Yes — Scott R Hamblin MD, PC's NPI (1790974830) is active in the NPPES registry as of the last update on 2009-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.