# PINETOP MEDICAL ASSOCIATES LTD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Ridge Regional Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154453728
- **Authorized official:** THOMAS S PAXMAN DO (OWNER)
- **Authorized official phone:** (928) 367-6688

## Contact information

- **Practice address:** 728 E WHITE MOUNTAIN BLVD, SUITE A, PINETOP, AZ 85935-7027
- **Practice address phone:** (928) 367-6688
- **Practice address fax:** (938) 367-4916
- **Mailing address:** PO BOX 2690, PINETOP, AZ 85935-2690
- **Mailing address phone:** (928) 367-6688
- **Mailing address fax:** (928) 367-4916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2577 | AZ | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 05/30/2012