THE CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION, INC. (NPI# 1588966170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588966170 |
| Entity Type | Organization |
| Organization Name | THE CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION, INC. |
| Other Organization Name | THE CORE INSTITUTE |
| Practice Address |
1001 Division St Prescott AZ 86301-1618 |
| Mailing Address |
3010 W Agua Fria Fwy Suite 100 Phoenix AZ 85027-3943 |
| Practice Telephone | 9287760137 |
| Mailing Telephone | 6235375600 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | DR. DAVID J. JACOFSKY (PRESIDENT) |
| Authorized Official Telephone | 6235375600 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | 33149 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RR MEDICARE | DD0900 | 01 |
| AZ | 341246 | 05 |
| Other Name | Type Code |
|---|---|
| The CORE Institute | Doing Business As Name - Organization |
| Street Address |
1001 DIVISION ST |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184616823 | Richard J Lane | Orthopaedic Surgery | 1001 Division St, Prescott, AZ 86301-1618 | 2005-08-18 |
| 1437452836 | Delmas Lee Abbott | Physician Assistant | 1001 Division St, Prescott, AZ 86301-1601 | 2010-12-07 |
| 1619104130 | Bradley Vernon Benson | Physical Medicine & Rehabilitation | 1001 Division St, Prescott, AZ 86301-1618 | 2009-06-11 |
| 1447490321 | Center for Orthopedic Research and Education Inc | Durable Medical Equipment & Medical Supplies | 1001 Division St, Suite B, Prescott, AZ 86301-1618 | 2009-03-04 |
| 1437347804 | Melinda Ann Rawcliffe | Physician Assistant | 1001 Division St, Prescott, AZ 86301-1601 | 2007-10-10 |
| 1720028095 | Jeremy D. Platt | Physician Assistant | 1001 Division St, Prescott, AZ 86301-1618 | 2006-06-07 |
| 1427096288 | Harvey G Thomas | Specialist | 1001 Division St, Prescott, AZ 86301-1613 | 2006-06-03 |
| 1821050196 | Vickie Marie Zeller | Physician Assistant | 1001 Division St, Prescott, AZ 86301-1618 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831502210 | James Bernard Frost | Orthopaedic Surgery | 561 Windspirit Cir, Prescott, AZ 86303-6703 | 2014-06-03 |
| 1659348308 | Michael G Orr | Orthopaedic Surgery | 2078 Willow Creek Rd, Prescott, AZ 86301-5389 | 2006-03-01 |
| 1154396216 | Michael A Trainor | Orthopaedic Surgery | 3655 Crossings Drive, Prescott, AZ 86305-7101 | 2006-02-22 |
| 1184616823 | Richard J Lane | Orthopaedic Surgery | 1001 Division St, Prescott, AZ 86301-1618 | 2005-08-18 |
| 1942784632 | Megan Sitrin | Orthopaedic Surgery | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2018-09-19 |
| 1003340183 | Brad Williams M.d. Ph.d., P.C. | Orthopaedic Surgery | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2017-04-17 |
| 1508204546 | Bertrand P Kaper Md PC | Orthopaedic Surgery | 3655 Crossings Dr, Prescott, AZ 86305-7101 | 2013-06-12 |
| 1861735490 | Judah D Pifer Md, Pllc | Orthopaedic Surgery | 3655 Crossings Dr, Prescott, AZ 86305-7101 | 2013-04-02 |
| 1831408384 | Granite Orthopaedics Pllc | Orthopaedic Surgery | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2010-10-01 |
| 1134389232 | Wilford Lee Richardson | Orthopaedic Surgery | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2008-06-11 |
| Find all providers in PRESCOTT | ||||
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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.