Provider Demographics
NPI:1770767022
Name:YAVAPAI ORTHOPAEDICS, PLLC
Entity type:Organization
Organization Name:YAVAPAI ORTHOPAEDICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPAEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:JAUME
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:928-443-9753
Mailing Address - Street 1:1050 GAIL GARDNER WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-1631
Mailing Address - Country:US
Mailing Address - Phone:928-443-9753
Mailing Address - Fax:928-443-9754
Practice Address - Street 1:1050 GAIL GARDNER WAY STE 100
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-1631
Practice Address - Country:US
Practice Address - Phone:928-443-9753
Practice Address - Fax:928-443-9754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4007207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ849614Medicaid
AZ849614Medicaid
Z78496Medicare PIN