Organization Active NPI

Yavapai Regional Medical Center Physician Care

  • Cardiovascular Disease Physician
  • Prescott, AZ
National Provider Identifier
1063660025
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE
Practice address
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone
(928) 848-3685
NPI assigned
Sep 3, 2008
Last updated
Dec 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Mr. Timothy Barnett
Title
Director
Phone
(928) 848-3685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

1003 Willow Creek Rd
Prescott, AZ 86301-1641

Mailing address

1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone (928) 848-3685

National Provider Directory

National Provider Directory
Tax ID family
Yavapai Regional Medical Center Physician Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1739 E Beverly Ave
Kingman, AZ 86409
Phone (602) 406-5483

1001 Division St
Ste 3300
Prescott, AZ 86301

1003 Division St
Ste 7
Prescott, AZ 86301
Phone (928) 445-1232

1010 Willow Creek Rd
Ste 2200
Prescott, AZ 86301

300 N Lee Blvd
Prescott, AZ 86301
Phone (928) 708-4300

802 Ainsworth Dr
Prescott, AZ 86301

802 Ainsworth Dr
Ste B
Prescott, AZ 86301
Phone (928) 445-1232

811 Ainsworth Dr
Ste 103
Prescott, AZ 86301
Phone (928) 771-5548

820 Ainsworth Dr
Prescott, AZ 86301

3198 N Windsong Dr
Ste B
Prescott Valley, AZ 86314
Phone (928) 772-8217

6648 N Viewpoint Dr
Ste 5
Prescott Valley, AZ 86315
Phone (928) 708-4800

7700 E Florentine Rd
#101
Prescott Valley, AZ 86314

7700 E Florentine Rd
Bldg B
Prescott Valley, AZ 86314
Phone (928) 442-8117

7700 E Florentine Rd
Bldg B101
Prescott Valley, AZ 86314

7700 E Florentine Rd
Bldg B202
Prescott Valley, AZ 86314

7700 E Florentine Rd
Bldg B203
Prescott Valley, AZ 86314

7700 E Florentine Rd
Ste 101BLDGB
Prescott Valley, AZ 86314

7700 E Florentine Rd
Ste 202
Prescott Valley, AZ 86314
Phone (928) 442-8710

7700 E Florentine Rd
Ste 2200
Prescott Valley, AZ 86314

7712 E Florentine Rd
Fl 2
Prescott Valley, AZ 86314

7721 E Florentine Rd Ste A101
Prescott Valley, AZ 86314

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1063660025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011641",
            "telephone_number": "928-848-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011641",
            "telephone_number": "928-848-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-848-3685",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.