COTTONWOOD PHYSICIAN GROUP (NPI# 1700408689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700408689 |
Entity Type | Organization |
Organization Name | COTTONWOOD PHYSICIAN GROUP |
Practice Address |
1760 E Villa Dr Ste E&f Cottonwood AZ 86326-4679 |
Mailing Address |
Po Box 964 Gilbert AZ 85299-0964 |
Practice Telephone | 4803664489 |
Practice Fax Number | 6026353683 |
Mailing Telephone | 4803664489 |
Mailing Fax Number | 6026353683 |
Enumeration Date | 2020-05-13 |
Last Update Date | 2020-05-13 |
Authorized Official Name | JEREMIAH FABER (CEO) |
Authorized Official Telephone | 4802583635 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Street Address |
1760 E VILLA DR STE E&F |
City | COTTONWOOD |
State | AZ |
Zip Code | 86326-4679 |
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 | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740571447 | Northern Arizona Medical Care Pllc | General Practice | 813 Cove Pkwy, Suite 101, Cottonwood, AZ 86326-4663 | 2011-04-28 |
1750732343 | Sedona Regenerative Medicine, PC | General Practice | 708 Cove Pkwy, Cottonwood, AZ 86326-5332 | 2016-06-25 |
1750602215 | Diane Marie Burnett | General Practice | 1127 N Main St, Cottonwood, AZ 86326-3541 | 2010-06-18 |
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1366080475 | Madison Taylor Phillips | General Practice | 15741 Bering St, Ehrenberg, AZ 85334-0010 | 2019-12-19 |
1437709508 | Azmo Medical Services, LLC | General Practice | 212 West Superstition Boulevard, # 101, Apache Junction, AZ 85120 | 2019-09-19 |
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.