NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP, LLC


Address: 294 W State Route 89a, Cottonwood, AZ 86326-3754
Phone: 9286343130

NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP, LLC (NPI# 1669730610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669730610
Entity Type Organization
Organization Name NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP, LLC
Other Organization Name HEART AND VASCULAR CENTER OF NORTHERN ARIZONA-COTTONWOOD
Practice Address 294 W State Route 89a
Cottonwood
AZ 86326-3754
Mailing Address 1200 North Beaver Street
Flagstaff
AZ 86001-3118
Practice Telephone 9286343130
Mailing Telephone 9282136543
Mailing Fax Number 9282143613
Enumeration Date 2012-04-27
Last Update Date 2019-04-17
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Heart and Vascular Center of Northern Arizona-Cottonwood Doing Business As Name - Organization

Other Provider IDs and Locations

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
1265846968 Northern Arizona Healthcare Provider Group, LLC Internal Medicine 294 W State Route 89a, Cottonwood, AZ 86326-3754 2014-06-20
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

Office Location

Street Address 294 W STATE ROUTE 89A
City COTTONWOOD
State AZ
Zip Code 86326-3754

Providers in the same location

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
1265846968 Northern Arizona Healthcare Provider Group, LLC Internal Medicine 294 W State Route 89a, Cottonwood, AZ 86326-3754 2014-06-20
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
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

Providers in the same zip code

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 Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700889425 Steve M Heilbrunn Internal Medicine 294 State Route 89a, Suite 107, Cottonwood, AZ 86326-3763 2005-05-27
1457665945 Providence Health & Services Internal Medicine 701 Lewiston Street, Cottonwood, ID 83522-0000 2010-07-27
1942432620 Arizona Heart Specialists Pllc Internal Medicine 450 S Willard St, Ste 115, Cottonwood, AZ 86326-6743 2009-08-14
1699942771 Verde Valley Medical Center Internal Medicine 269 S Candy Ln, Cottonwood, AZ 86326-4158 2008-05-08
1992980452 Verde Valley Medical Center-professional Internal Medicine 269 S Candy Ln, Cottonwood, AZ 86326-4158 2008-01-03
1598849721 Verde Valley Heart, LLC Internal Medicine 294 W Highway 89a, Suite 107, Cottonwood, AZ 86326-3754 2006-10-24
1689776908 Bruce William Peek Internal Medicine 294 State Route 89a, Suite 107, Cottonwood, AZ 86326-3763 2006-09-05
1205943008 Daniel V Lindenstruth Internal Medicine 294 W State Route 89a, Suite 107, Cottonwood, AZ 86326-3754 2006-08-25
1982616884 Samuel M Butman Internal Medicine 269 S Candy Ln, Cottonwood, AZ 86326-4158 2006-08-12
1164401592 Kenneth John Bescak Internal Medicine 294 W State Route 89a, Suite 107, Cottonwood, AZ 86326-3754 2006-01-13
Find all providers in COTTONWOOD

Competitor

Search similar providers

City COTTONWOOD
Zip Code 86326

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Dataset Information

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.

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