NPIMap

Organization Active NPI

Valley View Physician Practices LLC

Doing business as Vascular Institute of Arizona

  • Vascular Surgery Physician
  • Fort Mohave, AZ
National Provider Identifier
1003232208
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VALLEY VIEW PHYSICIAN PRACTICES LLC
Doing business as
Vascular Institute of Arizona
Practice address
5300 Hwy 95
Suite D
Fort Mohave, AZ 86426-9251
Phone
(928) 770-4984
Fax
(928) 770-4987
NPI assigned
Mar 12, 2014
Last updated
Jan 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

5300 Hwy 95
Suite D
Fort Mohave, AZ 86426-9251

Mailing address

5300 Hwy 95
Suite H
Fort Mohave, AZ 86426-9251
Phone (928) 770-4984

Other names 1

  • Vascular Institute of Arizona Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090424000481 AZ Part B Supplier - Clinic/Group Practice 7810045143 Receives reassigned benefits from 20 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bullhead City, AZ; Fort Mohave, AZ

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Valley View Physician Practices LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

5300 S Highway 95
Ste A
Fort Mohave, AZ 86426
Phone (928) 768-9496

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736640000000",
    "number": "1003232208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HWY 95",
            "address_2": "SUITE H",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269251",
            "telephone_number": "928-770-4984",
            "fax_number": "928-770-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HWY 95",
            "address_2": "SUITE D",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269251",
            "telephone_number": "928-770-4984",
            "fax_number": "928-770-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vascular Institute of Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Mohave, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.