VERDE VALLEY CONNECTION PRIMARY CARE PLC (NPI# 1043454242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043454242 |
| Entity Type | Organization |
| Organization Name | VERDE VALLEY CONNECTION PRIMARY CARE PLC |
| Practice Address |
8 E Cottonwood St Bldg C Cottonwood AZ 86326-4382 |
| Practice Telephone | 9282035400 |
| Practice Fax Number | 9286342841 |
| Mailing Telephone | 9282035400 |
| Mailing Fax Number | 9286342841 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-06-15 |
| Authorized Official Name | MR. LANCE FISHER (MEMBER) |
| Authorized Official Telephone | 9286342574 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
8 E COTTONWOOD ST BLDG C |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891783338 | Robert Nordman | Physician Assistant | 8 E Cottonwood St Bldg C, Verde Valley Guidance Clinic, Cottonwood, AZ 86326-6237 | 2005-10-10 |
| 1376840918 | Spectrum Healthcare Group, Inc | Clinic/Center | 8 E Cottonwood St Bldg C, Cottonwood, AZ 86326-6237 | 2011-02-17 |
| 1669408548 | Donald D Graber | Psychiatry & Neurology | 8 E Cottonwood St Bldg C, Verde Valley Guidance Clinic, Inc., Cottonwood, AZ 86326-6237 | 2006-06-23 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1700835006 | Cory Scott Krueger | Internal Medicine | 305 S Willard St, Cottonwood, AZ 86326-4127 | 2006-05-06 |
| 1396722161 | David Clark Shillington | Internal Medicine | 305 South Willard, Cottonwood, AZ 86326 | 2005-12-22 |
| 1962937375 | Tanmayee Sainaga Polamraju | Internal Medicine | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2017-04-23 |
| 1669867719 | Maxwell John Matson | Internal Medicine | 450 S Willard St, Cottonwood, AZ 86326 | 2015-04-04 |
| 1538557210 | David Nathaniel Wilson | Internal Medicine | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2015-01-02 |
| 1043623978 | Spectrum Healthcare Group, Inc | Internal Medicine | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2014-06-09 |
| 1770917007 | Spectrum Healthcare Group, Inc | Internal Medicine | 214 S Main St, Cottonwood, AZ 86326-3907 | 2013-08-22 |
| 1790058915 | Joshua Joseph Gibbons | Internal Medicine | 450 S Willard St, Suite 107, Cottonwood, AZ 86326-6743 | 2012-02-18 |
| 1447481684 | Jaime Upegui-gomez | Internal Medicine | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2009-08-05 |
| 1114117686 | Sabitha Sheela Setty | Internal Medicine | 269 S Candy Ln, Cottonwood, AZ 86326 | 2007-07-30 |
| Find all providers in COTTONWOOD | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
Please comment or provide details below to improve the information on VERDE VALLEY CONNECTION PRIMARY CARE PLC.
| 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.