COCHISE MEDICAL GROUP PC (NPI# 1538608369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538608369 |
| Entity Type | Organization |
| Organization Name | COCHISE MEDICAL GROUP PC |
| Practice Address |
4677 N Commerce Dr Sierra Vista AZ 85635-2497 |
| Practice Telephone | 5204392128 |
| Practice Fax Number | 5204598567 |
| Mailing Telephone | 5204392128 |
| Mailing Fax Number | 5204598567 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | MR. JEFFREY SCOTT BIVENS (HR DIRECTOR) |
| Authorized Official Telephone | 5204392128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4677 N COMMERCE DR |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588299176 | Arizona Healthy Clinic LLC | Family Medicine | 4344 W Indian School Rd Ste 8, Phoenix, AZ 85031-2939 | 2020-03-04 |
| 1194368852 | Relieve Medical Detox | Family Medicine | 7281 E Earll Dr Ste A4, Scottsdale, AZ 85251-7213 | 2019-10-24 |
| 1619430691 | Freedom Medical Care | Family Medicine | 5151 E Broadway Rd Ste 105, Mesa, AZ 85206-1346 | 2019-04-08 |
| 1851878508 | Rapr LLC | Family Medicine | 10632 N Scottsdale Rd Unit 482, Scottsdale, AZ 85254-6164 | 2018-07-25 |
| 1811410715 | Jacqueline M Pinlac | Family Medicine | 7830 N 23rd Ave, Phoenix, AZ 85021-6808 | 2017-07-23 |
| 1003269697 | Perla Quinones | Family Medicine | 36375 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140-7334 | 2016-07-19 |
| 1245468271 | Kenneth M Levine, D.o. Ltd | Family Medicine | 2121 S Mill Ave, 114, Tempe, AZ 85282-2138 | 2009-06-29 |
| 1912166620 | Michael Denicole | Family Medicine | 2132 E Northview Ave, Phoenix, AZ 85020-5661 | 2008-06-06 |
| 1265572358 | David G Greenberg | Family Medicine | 810 W Bethany Home Rd, Phoenix, AZ 85013-1654 | 2007-02-07 |
| 1861592826 | Gail N Shultz | Family Medicine | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on COCHISE MEDICAL GROUP PC.
| 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.