NPIMap

Organization Active NPI

Sedona Integrative Osteopathy LLC

  • General Practice Physician
  • Sedona, AZ
National Provider Identifier
1003243692
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
006216 Issued in AZ
Legal business name
SEDONA INTEGRATIVE OSTEOPATHY LLC
Practice address
6486 Sr 179
BLDG D Suite 108
Sedona, AZ 86351-7993
Phone
(520) 327-4101
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Emily J Burgoon, DO
Title
Physician
Phone
(520) 327-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 006216 AZ Primary

Addresses

Primary practice location

6486 Sr 179
BLDG D Suite 108
Sedona, AZ 86351-7993

Mailing address

6486 Sr 179
BLDG D Suite 108
Sedona, AZ 86351-7993
Phone (520) 327-4101

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1003243692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6486 SR 179",
            "address_2": "BLDG D SUITE 108",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863517993",
            "telephone_number": "520-327-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6486 SR 179",
            "address_2": "BLDG D SUITE 108",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863517993",
            "telephone_number": "520-327-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDONA INTEGRATIVE OSTEOPATHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "BURGOON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "520-327-4101",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "006216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.