NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP, LLC (NPI# 1033556089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033556089 |
| Entity Type | Organization |
| Organization Name | NORTHERN ARIZONA HEALTHCARE PROVIDER GROUP, LLC |
| Other Organization Name | VERDE VALLEY MEDICAL CLINIC: BEHAVIORAL HEALTH |
| Practice Address |
269 South Candy Lane Cottonwood AZ 86326-4158 |
| Mailing Address |
1200 North Beaver Street Attn: Managed Care Contracting Flagstaff AZ 86001-3118 |
| Practice Telephone | 9286396450 |
| Practice Fax Number | 9282141071 |
| Mailing Telephone | 9282136543 |
| Mailing Fax Number | 9282143613 |
| Enumeration Date | 2013-05-31 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Verde Valley Medical Clinic: Behavioral Health | 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 |
| 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 |
| Street Address |
269 SOUTH CANDY LANE |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598787889 | Stephen K Lindsey | Nurse Anesthetist, Certified Registered | 269 South Candy Lane, Cottonwood, AZ 86326-8328 | 2006-07-24 |
| 1164780961 | Northern Arizona Healthcare Provider Group, LLC | Hospitalist | 269 South Candy Lane, Cottonwood, AZ 86326-4158 | 2012-04-30 |
| 1699033407 | Northern Arizona Healthcare Provider Group, LLC | Pathology | 269 South Candy Lane, Cottonwood, AZ 86326-4158 | 2012-04-30 |
| 1609134410 | Northern Arizona Healthcare Provider Group, LLC | Neuromusculoskeletal Medicine & OMM | 269 South Candy Lane, Cottonwood, AZ 86326-4158 | 2012-04-30 |
| 1649538612 | Northern Arizona Healthcare Provider Group, LLC | Anesthesiology | 269 South Candy Lane, Cottonwood, AZ 86326-4758 | 2012-04-27 |
| 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 | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376658633 | Donald J Curran Do Pllc | Psychiatry & Neurology | 401 S Calvary Way, Suite B, Cottonwood, AZ 86326-4165 | 2006-08-20 |
| 1922056746 | Donald J Curran | Psychiatry & Neurology | 294 W State Route 89a, Suite 212, Cottonwood, AZ 86326-3754 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467060343 | Geropsychmd LLC | Psychiatry & Neurology | 9618 N 35th Pl, Phoenix, AZ 85028-4934 | 2020-07-16 |
| 1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
| 1700170271 | Arizona Advanced Health Services LLC | Psychiatry & Neurology | 10770 E Becker Ln, Scottsdale, AZ 85259-3868 | 2011-06-02 |
| 1821294745 | Dennis C. Westin, M.d. P.C. | Psychiatry & Neurology | 5240 E Knight Dr Ste 120, Tucson, AZ 85712-2122 | 2007-06-26 |
| 1366506263 | Naeem Amanullah Pathan | Psychiatry & Neurology | 3450 N 3rd St, Phoenix, AZ 85012-2331 | 2006-12-22 |
| 1871693952 | Amy Johanna Frazier | Psychiatry & Neurology | 650 East Indian School Rd, Phoenix, AZ 85012-1839 | 2006-09-25 |
| 1710903414 | Daniel S. Cohen | Psychiatry & Neurology | 5425 N Oracle Rd # 115, Tucson, AZ 85704-3890 | 2006-07-14 |
| 1912952136 | Matthew T Malone | Psychiatry & Neurology | 1551 E Tangerine Rd, Oro Valley, AZ 85755-6213 | 2006-05-24 |
| 1043276918 | Arif Husain | Psychiatry & Neurology | 3505 Western Ave, Kingman, AZ 86409-3071 | 2006-04-21 |
| 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.