FLAGSTAFF SURGICAL ASSOCIATES PA – NPI #1114995271
Surgery

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Surgery

FLAGSTAFF SURGICAL ASSOCIATES PA is a surgeon located in FLAGSTAFF, AZ. NPPES has assigned the NPI number 1114995271 to FLAGSTAFF SURGICAL ASSOCIATES PA on March 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0102X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Critical Care

The NPI profile was last updated on Oct 24, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FLAGSTAFF SURGICAL ASSOCIATES PA below.

NPI Profile for
FLAGSTAFF SURGICAL ASSOCIATES PA

NPI Number
1114995271
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FLAGSTAFF SURGICAL ASSOCIATES PA
Primary location
77 W FOREST AVE STE 201
FLAGSTAFF, AZ 86001-1483
Phone: (928) 773-2222 Fax: (928) 773-2598
1 Other location(s):
77 W Forest Ave Ste 212
Flagstaff, AZ 86001-1481
Phone: (928) 773-2222 Ext: 5
Fax: (928) 773-2598
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL WILSON
MANAGER
Phone: (928) 773-2572
Updated
Certification Date
Oct 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0102X
- Surgery / Surgical Critical Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.