VERDE VALLEY MEDICAL CENTER (NPI# 1154768190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154768190 |
| Entity Type | Organization |
| Organization Name | VERDE VALLEY MEDICAL CENTER |
| Other Organization Name | VERDE VALLEY MEDICAL CENTER ISP |
| Practice Address |
269 S Candy Ln Cottonwood AZ 86326-4158 |
| Practice Telephone | 9282141070 |
| Practice Fax Number | 9282141071 |
| Mailing Telephone | 9286396636 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-10-02 |
| Authorized Official Name | MARIANE V ALVA (MEDICAL BILLER) |
| Authorized Official Telephone | 9282141070 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Verde Valley Medical Center ISP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538608716 | Verde Valley Medical Center | General Acute Care Hospital | 3700 W Highway 89a, Sedona, AZ 86336-4937 | 2017-02-21 |
| 1184955932 | Verde Valley Medical Center | Hospitalist | 269 S Candy Ln, Vvmc Hospitalist, Cottonwood, AZ 86326-4158 | 2010-01-19 |
| 1134457666 | Verde Valley Medical Center | Orthopaedic Surgery | 450 S Willard St, Cottonwood, AZ 86326 | 2009-11-20 |
| 1881822435 | Verde Valley Medical Center | Family Medicine | 450 S Willard St, Ste 115, Cottonwood, AZ 86326 | 2009-06-22 |
| 1780821074 | Verde Valley Medical Center | Pathology | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2009-01-08 |
| 1851545073 | Verde Valley Medical Center | Psychiatry & Neurology | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2008-11-14 |
| 1699942771 | Verde Valley Medical Center | Internal Medicine | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2008-05-08 |
| 1821260001 | Verde Valley Medical Center | Clinic/Center | 294 W Highway 89a, Cottonwood, AZ 86326-3754 | 2008-03-28 |
| 1356510010 | Verde Valley Medical Center | Durable Medical Equipment & Medical Supplies | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2008-02-27 |
| 1972789667 | Verde Valley Medical Center | Ambulance | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2008-01-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VERDE VALLEY MEDICAL CENTER | 269 S Candy Ln, Cottonwood, AZ 86326-4158 |
| Street Address |
269 S CANDY LN |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345383 | Eugene M.r. Charlebois | Emergency Medicine | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2005-06-08 |
| 1306463740 | Riley Benjamin Johnson | Dietitian, Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-07-01 |
| 1821619891 | Joshua Thomas Haywood | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-30 |
| 1396364162 | Jeremy Schmoyer | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-13 |
| 1144849993 | Miranda Rose Anderson | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-12 |
| 1659900876 | Eddie Khav | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4170 | 2020-04-08 |
| 1790314961 | Michelle Anne Pope | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-08 |
| 1699320390 | Emily Kathryn Danca | Dietitian, Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-08-08 |
| 1760036909 | Tarra Denise Young | Nurse Practitioner | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-07-25 |
| 1275195950 | Samer Saeed Hasson | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383701 | Alliance Oncology of Arizona, LLC | Radiology | 21300 N John Wayne Pkwy Ste 116, Maricopa, AZ 85139-8978 | 2020-10-12 |
| 1902305899 | Sonoran Skin Cancer Treatment Centers, LLC | Radiology | 1425 Greenfield Road, Mesa, AZ 85206 | 2018-02-06 |
| 1811307333 | Joshua R Niska | Radiology | Bmda @ Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 | 2014-05-06 |
| 1053731356 | Andrew Orton | Radiology | 121 West Esperanza Blvd, 181, Green Valley, AZ 85614-6687 | 2014-04-24 |
| 1346668514 | Ashley Ann Albert | Radiology | 14155 N 83rd Ave Ste 127, Peoria, AZ 85381-5652 | 2014-04-03 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1366726788 | Vershalee Shukla | Radiology | 7469 E Monte Cristo Ave, Scottsdale, AZ 85260-1618 | 2011-10-04 |
| 1194988204 | David Thomas Vonk | Radiology | 6567 E Carondelet Dr Ste 100, Tucson, AZ 85710-6152 | 2008-07-08 |
| 1679767768 | Simul D Parikh | Radiology | Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 | 2007-08-31 |
| 1457561086 | Kurt Andrew Wharton | Radiology | 7410 N Zanjero Blvd, Palo Verde Cancer Center-west Valley, Glendale, AZ 85308 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.