NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP, LLC (NPI# 1265846968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265846968 |
| Entity Type | Organization |
| Organization Name | NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP, LLC |
| Other Organization Name | VERDE VALLEY MEDICAL CLINIC: ENDOCRINOLOGY |
| Practice Address |
294 W State Route 89a Cottonwood AZ 86326-3754 |
| Mailing Address |
1200 North Beaver Street Attn: Managed Care Contracting Flagstaff AZ 86001-3118 |
| Practice Telephone | 9286497889 |
| Practice Fax Number | 9286497936 |
| Mailing Telephone | 9282136543 |
| Mailing Fax Number | 9282143613 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2019-04-16 |
| Authorized Official Name | RONALD F HAASE (NAH CHIEF SYSTEMS OFFICER) |
| Authorized Official Telephone | 9287732059 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN ARIZONA HEALTHCARE CORP |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Verde Valley Medical Clinic: Endocrinology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417384371 | Northern Arizona Healthcare Provider Group, LLC | Optometrist | 1298 W Finnie Flat Rd # 101, Camp Verde, AZ 86322-5958 | 2013-10-08 |
| 1851659817 | Northern Arizona Healthcare Provider Group, LLC | Surgery | 199 South Candy Lane, Cottonwood, AZ 86326-4183 | 2012-04-27 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1386099869 | Northern Arizona Healthcare Provider Group, LLC | Anesthesiology | 1200 N. Beaver Street, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118 | 2016-05-03 |
| 1295121903 | Northern Arizona Healthcare Provider Group, LLC | Obstetrics & Gynecology | 269 South Candy Lane, Flagstaff, AZ 86326 | 2015-04-09 |
| 1174914915 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 77 W Forest Ave, Flagstaff, AZ 86001-1479 | 2015-02-16 |
| 1699182188 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 77 W Forest Ave, Flagstaff, AZ 86001-1479 | 2014-07-16 |
| 1740694470 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2014-06-20 |
| 1003230830 | Northern Arizona Healthcare Provider Group, LLC | Psychologist | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2014-02-14 |
| 1508299728 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 294 W State Route 89a, Cottonwood, AZ 86326-3754 | 2013-08-12 |
| Street Address |
294 W STATE ROUTE 89A |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-3754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568459717 | John S. Schor | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 294 W State Route 89a, Suite 107, Cottonwood, AZ 86326-3754 | 2005-10-03 |
| 1730637109 | Donna Clark | Social Worker | 294 W State Route 89a, Cottonwood, AZ 86326-3754 | 2016-09-14 |
| 1508299728 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 294 W State Route 89a, Cottonwood, AZ 86326-3754 | 2013-08-12 |
| 1417292582 | Northern Arizona Healthcare Provider Group, LLC | Urology | 294 W State Route 89a, Cottonwood, AZ 86326-3754 | 2012-11-30 |
| 1669730610 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 294 W State Route 89a, Cottonwood, AZ 86326-3754 | 2012-04-27 |
| 1700154051 | Fran Willetts | Nurse Practitioner | 294 W State Route 89a, Cottonwood, AZ 86326-3754 | 2011-12-01 |
| 1508190174 | Stephanie Marie Purinton | Advanced Practice Midwife | 294 W State Route 89a, Suite 209, Cottonwood, AZ 86326-3754 | 2009-09-29 |
| 1295985240 | Scott A Cherne Md PC | Durable Medical Equipment & Medical Supplies | 294 W State Route 89a, Cottonwood, AZ 86326-3754 | 2008-09-26 |
| 1801069158 | Black Hills Urology Group, P.C. | Urology | 294 W State Route 89a, Suite 208, Cottonwood, AZ 86326-3754 | 2008-04-08 |
| 1700086816 | Roberta Elaine Funck | Physician Assistant | 294 W State Route 89a, Cottonwood, AZ 86326-3754 | 2007-07-18 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1225131014 | Sandra I Rubio | Internal Medicine | 450 S Willard St, Suite 115, Cottonwood, AZ 86326-6743 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770146466 | Arkangel Endocrinology & Diabetes | Internal Medicine | 1661 E Camelback Rd Ste 235, Phoenix, AZ 85016-3983 | 2019-04-17 |
| 1689157166 | Healthy Living Diabetes and Endocrinology Plc | Internal Medicine | 908 W Chandler Blvd B-4, Building B, Suite 4, Chandler, AZ 85225-2548 | 2018-09-11 |
| 1073966487 | Desert Sky Endocrinology Associates Plc | Internal Medicine | 7115 E Baseline Rd, Suite 110, Mesa, AZ 85209-4039 | 2016-07-20 |
| 1609287317 | Stewart Hamilton | Internal Medicine | 11306 E Via Canada, Yuma, AZ 85367-7241 | 2014-05-15 |
| 1003168840 | Naga Nalini Tirumalasetty | Internal Medicine | 908 W Chandler Blvd Ste 4, Chandler, AZ 85225-2548 | 2012-10-03 |
| 1811257710 | Syoufi Endocrinology | Internal Medicine | 9336 E Raintree Dr Ste 150, Scottsdale, AZ 85260-7314 | 2012-05-24 |
| 1366731358 | Gina Marie Mathew | Internal Medicine | 1917 S Crismon Rd, Mesa, AZ 85209-6216 | 2011-03-30 |
| 1528387834 | Suzi Kochar | Internal Medicine | 3000 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7802 | 2010-05-26 |
| 1275762130 | Muhammad Jawad Sethi | Internal Medicine | 6365 E Tanque Verde Rd Ste 200, Tucson, AZ 85715 | 2009-07-13 |
| 1790956464 | Dcoa Physician Associates Pa | Internal Medicine | Nec Litchfield & Mcdowell Road, Building A Suite 104, Goodyear, AZ 85338 | 2008-03-20 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
Please comment or provide details below to improve the information on NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP, LLC.
| 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.