UROLOLGY PROVIDERS OF NORTHERN ARIZONA (NPI# 1134274319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134274319 |
| Entity Type | Organization |
| Organization Name | UROLOLGY PROVIDERS OF NORTHERN ARIZONA |
| Practice Address |
450 S Willard St Ste 105 Cottonwood AZ 86326-6743 |
| Practice Telephone | 9286391311 |
| Practice Fax Number | 9286391573 |
| Mailing Telephone | 9286391311 |
| Mailing Fax Number | 9286391573 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALEX M HORCHAK (PRESIDENT) |
| Authorized Official Telephone | 9286391311 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | P00341295 | 01 |
| AZ | BCBS OF AZ | AZ0420070 | 01 |
| Street Address |
450 S WILLARD ST STE 105 |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-6743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515235 | Northern Arizona Rehabilitation & Fitness | Physical Therapist | 450 S Willard St, Ste 106, Cottonwood, AZ 86326-6744 | 2005-06-01 |
| 1669867719 | Maxwell John Matson | Internal Medicine | 450 S Willard St, Cottonwood, AZ 86326 | 2015-04-04 |
| 1518373901 | April Schleier | Nurse Practitioner | 450 S Willard St, Cottonwood, AZ 86326-6743 | 2014-07-07 |
| 1730511296 | Julia M Trainor | Nurse Practitioner | 450 S Willard St, Suite 115, Cottonwood, AZ 86326-6743 | 2013-08-06 |
| 1821330028 | Celeste Cheri Scalf | Nurse Practitioner | 450 S Willard St, Suite 115, Cottonwood, AZ 86326-6743 | 2013-03-26 |
| 1417215229 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 450 S Willard St, Cottonwood, AZ 86326-6743 | 2012-04-30 |
| 1154689966 | Northern Arizona Healthcare Provider Group, LLC | Neuromusculoskeletal Medicine & OMM | 450 S Willard St, Cottonwood, AZ 86326-6743 | 2012-04-30 |
| 1174881973 | Northern Arizona Healthcare Provider Group, LLC | Orthopaedic Surgery | 450 S Willard St, Cottonwood, AZ 86326-6743 | 2012-04-30 |
| 1790058915 | Joshua Joseph Gibbons | Internal Medicine | 450 S Willard St, Suite 107, Cottonwood, AZ 86326-6743 | 2012-02-18 |
| 1205153699 | Corey Ellis Sonnett | Physician Assistant | 450 S Willard St, Suite 105, Cottonwood, AZ 86326-6743 | 2010-04-26 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609039056 | Farshid Paydar Md PC | Clinic/Center | 401 S Calvary Way Ste D, Cottonwood, AZ 86326-4165 | 2008-07-07 |
| 1265572606 | United Surgical Associates, L.L.C. | Clinic/Center | 651 W Mingus Ave, Suite 2a, Cottonwood, AZ 86326-4006 | 2007-02-07 |
| 1043222417 | Cottonwood Day Surgery Center | Clinic/Center | 55 S 6th St, Cottonwood, AZ 86326-4237 | 2006-08-13 |
| 1225075435 | Southwestern Eye Center Ltd | Clinic/Center | 270 S Candy Ln, Cottonwood, AZ 86326-4164 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940274 | Arizona Centers for Orthobiologics, LLC | Clinic/Center | 610 E Baseline Rd Ste 103, Tempe, AZ 85283-1204 | 2020-10-21 |
| 1336756592 | Pinnacle Asc LLC | Clinic/Center | 3329 E Bell Rd # A2-a5, Phoenix, AZ 85032-2756 | 2020-09-30 |
| 1053927210 | Gila River Surgical Center LLC | Clinic/Center | 2340 W Parkside Ln Ste H107, Phoenix, AZ 85027-1274 | 2020-09-22 |
| 1134735384 | Rembrandt Treatment Center LLC | Clinic/Center | 6859 E Rembrandt Ave Ste 101, Mesa, AZ 85212-3629 | 2020-09-22 |
| 1952917445 | Aurora Surgical Center LLC | Clinic/Center | 1254 W University Ave Ste 130, Flagstaff, AZ 86001-7217 | 2020-09-20 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1780292110 | Buckeye South LLC | Clinic/Center | 23390 W Yuma Rd Ste 101, Buckeye, AZ 85326-3106 | 2020-07-22 |
| 1457976383 | Vhc-1 | Clinic/Center | 8900 E Raintree Dr Ste 100, Scottsdale, AZ 85260-7307 | 2020-06-16 |
| 1003439712 | Comprehensive Surgical Care of Sun City | Clinic/Center | 14642 N Del Webb Blvd Ste 100, Sun City, AZ 85351-2101 | 2020-05-28 |
| 1013539709 | Bsc Biltmore LLC | Clinic/Center | 2222 E Highland Ave Ste 100, Phoenix, AZ 85016-4874 | 2020-05-15 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
Please comment or provide details below to improve the information on UROLOLGY PROVIDERS OF NORTHERN ARIZONA.
| 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.