DR. JOSE L GOCHOCO (NPI# 1639195365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639195365 |
| Entity Type | Individual |
| Full Name | DR. JOSE L GOCHOCO |
| Credential | D.O. |
| Practice Address |
2002 N Stockton Hill Rd Suite 102 Kingman AZ 86401-4698 |
| Mailing Address |
Po Box 4450 Kingman AZ 86402-4450 |
| Practice Telephone | 9287184375 |
| Practice Fax Number | 9282220227 |
| Mailing Telephone | 9287184375 |
| Mailing Fax Number | 9282220227 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
1715 | AZ | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 1715 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 295487 | 05 |
| Street Address |
2002 N STOCKTON HILL RD SUITE 102 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-4698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014196 | Elias Omar Ruiloba | Psychiatry & Neurology | 2002 N Stockton Hill Rd, #104, Kingman, AZ 86401-4698 | 2005-09-23 |
| 1174860290 | Leellen Lou Anderson | Counselor | 2002 N Stockton Hill Rd, Kingman, AZ 86401-4698 | 2013-01-09 |
| 1225374515 | Barbara J Wanland | Counselor | 2002 N Stockton Hill Rd, Kingman, AZ 86401-4698 | 2012-12-14 |
| 1578586806 | John J Pierce | Emergency Medicine | 2002 N Stockton Hill Rd, Suite 103, Kingman, AZ 86401-4698 | 2006-07-26 |
| 1558387845 | Twin Peaks Medical Associates Pllc | Clinic/Center | 2002 N Stockton Hill Rd, Suite 103, Kingman, AZ 86401-4698 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205328382 | Darren Keith Johnson | Emergency Medicine | 601 El Dorado St, Kingman, AZ 86401-6224 | 2018-06-04 |
| 1992007439 | Trever Lynn Wilkins | Emergency Medicine | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2010-12-02 |
| 1285964312 | Cory Willard Meeder | Emergency Medicine | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2010-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679354 | Arizona Hospitalists, Pllc | Emergency Medicine | 10255 N 43rd St, Phoenix, AZ 85028-4108 | 2020-08-14 |
| 1154898435 | Phoenix Physician Group, LLC | Emergency Medicine | 3430 N. Mountain Ridge, Unit 14, Mesa, AZ 85207 | 2018-10-25 |
| 1396259636 | Fire Medical Billing, LLC | Emergency Medicine | 207 N Gilbert Rd Ste 1, Gilbert, AZ 85234-5812 | 2017-11-22 |
| 1427570753 | Buckskin Fire District | Emergency Medicine | 8500 Riverside Dr, Parker, AZ 85344-7001 | 2017-07-07 |
| 1699040824 | Jennifer Leigh Hissett | Emergency Medicine | Corner of Route N 7 and N 12, Fort Defiance, AZ 86504-0589 | 2012-03-21 |
| 1649478967 | Genna M Cammarata | Emergency Medicine | 36050 N 58th St, Cave Creek, AZ 85331-9162 | 2007-07-09 |
| 1861566226 | Peggy Jean Englebrake | Emergency Medicine | Hwy 160 163, Building Ka2010, Kayenta, AZ 86033-0368 | 2006-11-20 |
| 1285708172 | William Fowler Fulton Jr. | Emergency Medicine | 2557 S Val Vista Dr, Gilbert, AZ 85295-6229 | 2006-11-20 |
| 1477641991 | Lincoln Physician Billing, LLC | Emergency Medicine | 2500 W Utopia Rd Ste 100, Phoenix, AZ 85027-4172 | 2006-10-10 |
| 1891888517 | Alliance Urgent Care Pllc | Emergency Medicine | 9897 W. Mcdowell Rd, Tolleson, AZ 85353 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
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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.