COTTONWOOD PHYSICIAN GROUP


Address: 1760 E Villa Dr Ste E&f, Cottonwood, AZ 86326-4679
Phone: 4803664489

COTTONWOOD PHYSICIAN GROUP (NPI# 1700408689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700408689
Entity Type Organization
Organization Name COTTONWOOD PHYSICIAN GROUP
Practice Address 1760 E Villa Dr Ste E&f
Cottonwood
AZ 86326-4679
Mailing Address Po Box 964
Gilbert
AZ 85299-0964
Practice Telephone 4803664489
Practice Fax Number 6026353683
Mailing Telephone 4803664489
Mailing Fax Number 6026353683
Enumeration Date 2020-05-13
Last Update Date 2020-05-13
Authorized Official Name JEREMIAH FABER (CEO)
Authorized Official Telephone 4802583635
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 1760 E VILLA DR STE E&F
City COTTONWOOD
State AZ
Zip Code 86326-4679

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740571447 Northern Arizona Medical Care Pllc General Practice 813 Cove Pkwy, Suite 101, Cottonwood, AZ 86326-4663 2011-04-28
1750732343 Sedona Regenerative Medicine, PC General Practice 708 Cove Pkwy, Cottonwood, AZ 86326-5332 2016-06-25
1750602215 Diane Marie Burnett General Practice 1127 N Main St, Cottonwood, AZ 86326-3541 2010-06-18

Providers in the same taxonomy and state

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1699374702 Valley Spinal Care Pain Relief, LLC General Practice 15425 N Greenway Hayden Loop Ste A200, Scottsdale, AZ 85260-1239 2020-10-20
1225645625 Olympus Health Management LLC General Practice 3813 E Oasis Cir, Mesa, AZ 85215-9796 2020-09-29
1952917205 Physical Medicine of Mesa LLC General Practice 3614 E Southern Ave Ste 105, Mesa, AZ 85206-2510 2020-09-22
1346867488 Infinity Pain Relief, LLC General Practice 8715 W Union Hills Dr Ste 109, Peoria, AZ 85382-3031 2020-07-05
1417570664 Compass Medical Center Heber, Pllc General Practice 2931 Highway 260, Overgaard, AZ 85933 2020-05-22
1457973406 Pima County Physician Group General Practice 5155 E Farness Dr Ste 111b, Tucson, AZ 85712-2158 2020-05-13
1124649637 Peoria Physician Group General Practice 13760 N 93rd Ave Ste 105, Peoria, AZ 85381-4260 2020-05-06
1366080475 Madison Taylor Phillips General Practice 15741 Bering St, Ehrenberg, AZ 85334-0010 2019-12-19
1437709508 Azmo Medical Services, LLC General Practice 212 West Superstition Boulevard, # 101, Apache Junction, AZ 85120 2019-09-19
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Competitor

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City COTTONWOOD
Zip Code 86326

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Dataset Information

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.

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