YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC (NPI# 1073920484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073920484 |
Entity Type | Organization |
Organization Name | YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC |
Practice Address |
726 Gail Gardner Way Suite B Prescott AZ 86305-2314 |
Mailing Address |
Po Box 10880 Prescott AZ 86304-0880 |
Practice Telephone | 9284450304 |
Enumeration Date | 2014-07-17 |
Last Update Date | 2014-07-17 |
Authorized Official Name | ELIZABETH CAMACHO (REVENUE CYCLE MANAGER) |
Authorized Official Telephone | 9284453319 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043449887 | Yavapai Regional Medical Center Physician Care LLC | Family Medicine | 7700 E Florentine Rd Bldg B, Suite A101, Prescott Valley, AZ 86314-2245 | 2009-07-14 |
1083940399 | Yavapai Regional Medical Center Physician Care LLC | Internal Medicine | 1050 Gail Gardner Way, Suite 300, Prescott, AZ 86305-1630 | 2009-10-20 |
1528394830 | Yavapai Regional Medical Center Physician Care LLC | Internal Medicine | 802 Ainsworth Dr, Suite A, Prescott, AZ 86301-1623 | 2009-10-20 |
1255582003 | Yavapai Regional Medical Center Physician Care LLC | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2008-10-09 |
Street Address |
726 GAIL GARDNER WAY SUITE B |
City | PRESCOTT |
State | AZ |
Zip Code | 86305-2314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730188095 | Stephen A Cantor | Internal Medicine | 726 Gail Gardner Way, Suite B, Prescott, AZ 86305 | 2005-07-19 |
1962729236 | Cedars Cardiovascular Care, P.l.l.c. | Clinic/Center | 726 Gail Gardner Way, Suite A, Prescott, AZ 86305-2314 | 2010-04-27 |
1609004233 | Yusuf Hassan | Internal Medicine | 726 Gail Gardner Way, Suite A, Prescott, AZ 86305-2314 | 2009-06-22 |
1366629131 | Florin Victor Moisiuc | Internal Medicine | 726 Gail Gardner Way, Ste. B, Prescott, AZ 86305-2314 | 2008-01-23 |
1568641264 | Cedars Cardiovascular, P.C. | Clinic/Center | 726 Gail Gardner Way, Suite A, Prescott, AZ 86305-2314 | 2007-10-30 |
1508062449 | Jill Marie Zogob | Nurse Practitioner | 726 Gail Gardner Way, Suite B, Prescott, AZ 86305-2314 | 2007-06-26 |
1144331448 | John F Mackenzie Do PC | Psychiatry & Neurology | 726 Gail Gardner Way, Suite B, Prescott, AZ 86305-2314 | 2006-08-31 |
1629027925 | Jimmy D Smith Jr. | Nurse Practitioner | 726 Gail Gardner Way, Prescott, AZ 86305-2314 | 2006-05-06 |
1730145459 | George Thomas Rizk | Internal Medicine | 726 Gail Gardner Way, Suite B, Prescott, AZ 86305-2314 | 2006-04-21 |
1881689537 | Edward L Ritter | Family Medicine | 726 Gail Gardner Way, Ste B, Prescott, AZ 86305-2314 | 2005-09-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578517108 | West Yavapai Guidance Clinic, Inc. | Clinic/Center | 625 Hillside Ave, Prescott, AZ 86301 | 2006-05-19 |
1881102416 | Willer Optometry, Inc | Clinic/Center | 3911 E State Route 69, Prescott, AZ 86301-6717 | 2018-01-17 |
1699046177 | Schueller Chiropractic Inc. | Clinic/Center | 219 Broad St N, Prescott, WI 54021-1703 | 2012-01-16 |
1801192547 | Allina Health System | Clinic/Center | 1400 N Acres Rd, Prescott, WI 54021-7038 | 2011-01-27 |
1053366716 | West Yavapai Guidance Clinic, Inc. | Clinic/Center | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2006-05-23 |
1871547430 | West Yavapai Guidance Clinic Cortez | Clinic/Center | 505 S Cortez, Prescott, AZ 86303 | 2006-05-19 |
1831150747 | Prescott Family Clinic P A | Clinic/Center | 301 Hale Ave, Prescott, AR 71857-3330 | 2006-03-30 |
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1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
1962013474 | Stable Foundations Therapy Pllc | Clinic/Center | 12115 N Peaks Pkwy, Flagstaff, AZ 86004-5589 | 2020-08-10 |
1285242560 | Growing Space LLC | Clinic/Center | 3940 S 79th Dr, Phoenix, AZ 85043-1694 | 2020-07-22 |
1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
1952928053 | Brio Inc | Clinic/Center | 11000 N Scottsdale Rd Ste 115, Scottsdale, AZ 85254-6168 | 2020-07-06 |
1568087187 | Arizona Imaging Specialists, LLC | Clinic/Center | 727 E Bethany Home Rd Ste A106, Phoenix, AZ 85014-2192 | 2020-06-09 |
1003436197 | Omo Ije's'a Pllc | Clinic/Center | 7309 E 28th St, Tucson, AZ 85710-5505 | 2020-04-20 |
1134752835 | Terry Wright | Clinic/Center | 1435 E University Dr, Tempe, AZ 85281-8473 | 2020-02-20 |
1265064265 | Hinds Mobile Md | Clinic/Center | 8485 E Mcdonald Dr # 214, Scottsdale, AZ 85250-6335 | 2020-02-07 |
1932731130 | Arcadia Neuropsychology, Pllc | Clinic/Center | 2929 N 44th St Ste 330, Phoenix, AZ 85018-7241 | 2020-02-06 |
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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.