YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC (NPI# 1255582003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255582003 |
| Entity Type | Organization |
| Organization Name | YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC |
| Other Organization Name | YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE |
| Practice Address |
3120 Clearwater Dr Prescott AZ 86305-7131 |
| Mailing Address |
Po Box 10880 Prescott AZ 86304-0880 |
| Practice Telephone | 9287712400 |
| Practice Fax Number | 9287712650 |
| Mailing Telephone | 9287595987 |
| Mailing Fax Number | 9284582039 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2016-04-04 |
| Authorized Official Name | MR. LEE LIVIN (CFO) |
| Authorized Official Telephone | 9287715691 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35954 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Yavapai Regional Medical Center Physician Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043449887 | Yavapai Regional Medical Center Physician Care LLC | Family Medicine | 7700 E Florentine Rd Bldg B, Suite A101, Prescott Valley, AZ 86314-2245 | 2009-07-14 |
| 1073920484 | Yavapai Regional Medical Center Physician Care LLC | Clinic/Center | 726 Gail Gardner Way, Suite B, Prescott, AZ 86305-2314 | 2014-07-17 |
| 1083940399 | Yavapai Regional Medical Center Physician Care LLC | Internal Medicine | 1050 Gail Gardner Way, Suite 300, Prescott, AZ 86305-1630 | 2009-10-20 |
| 1528394830 | Yavapai Regional Medical Center Physician Care LLC | Internal Medicine | 802 Ainsworth Dr, Suite A, Prescott, AZ 86301-1623 | 2009-10-20 |
| Street Address |
3120 CLEARWATER DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-7131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609862275 | Maria Therese Boedigheimer | Physician Assistant | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2005-09-20 |
| 1801100250 | Kenneth G. Lawlor, Do, Pllc | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2010-07-27 |
| 1396919387 | Yrmc Physiciancare Internal Medicine | Clinic/Center | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2008-04-22 |
| 1982796686 | David Paul Danowski | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-09-29 |
| 1154420180 | Anthony V Torres | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-09-22 |
| 1265538235 | Nicholas H Rice | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-09-16 |
| 1326072000 | Allen Richard Gardner | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-07-10 |
| 1437101789 | Marc H Brickman | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-05-16 |
| 1619964061 | Doreen Ann Slabaugh | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073131561 | Ponderosa Heart House Call | Internal Medicine | 115 S Alto St Ste 3, Prescott, AZ 86303-3603 | 2020-07-10 |
| 1356698831 | Barbara Ann Bruno | Internal Medicine | 5330 E Softwind Trl, Prescott, AZ 86303-6884 | 2012-08-14 |
| 1194835199 | Andrew S Newton | Internal Medicine | 919 Twelfth Place, Suite 14, Prescott, AZ 86305 | 2006-08-30 |
| 1114928025 | Jerome C Robinson | Internal Medicine | 802 Ainsworth Dr Ste A, Prescott, AZ 86301-1623 | 2005-08-02 |
| 1730188095 | Stephen A Cantor | Internal Medicine | 726 Gail Gardner Way, Suite B, Prescott, AZ 86305 | 2005-07-19 |
| 1558997742 | Heart Shop, LLC | Internal Medicine | 242 Whipple St, Prescott, AZ 86301-1787 | 2020-03-19 |
| 1548701618 | Scottsdale Heart Health & Wellness Pllc | Internal Medicine | 919 12th Pl, 10, Prescott, AZ 86305-1433 | 2017-03-09 |
| 1609004233 | Yusuf Hassan | Internal Medicine | 726 Gail Gardner Way, Suite A, Prescott, AZ 86305-2314 | 2009-06-22 |
| 1063660025 | Yavapai Regional Medical Center Physician Care | Internal Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2008-09-03 |
| 1669647137 | Stephen A. Cantor, M.d., P.C. | Internal Medicine | 980 Willow Creek Rd, Suite 201, Prescott, AZ 86301-1611 | 2008-04-25 |
| Find all providers in PRESCOTT | ||||
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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.