NPIMap

Organization Active NPI

Red Canyon Infectious Disease

  • Infectious Disease Physician
  • Douglas, AZ
National Provider Identifier
1104934660
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
19439 Issued in AZ
Legal business name
RED CANYON INFECTIOUS DISEASE
Practice address
2174 W Oak Ave
Douglas, AZ 85607-6003
Phone
(520) 366-0335
Fax
(520) 366-0388
NPI assigned
Aug 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Dr. Christopher Earl Spooner, M.D.NPI 1891803417
Title
President
Phone
(520) 366-0335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 19439 AZ Primary

Addresses

Primary practice location

2174 W Oak Ave
Douglas, AZ 85607-6003

Mailing address

PO Box 121
Bisbee, AZ 85603-0121
Phone (520) 366-0335

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1104934660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856030121",
            "telephone_number": "520-366-0335",
            "fax_number": "520-366-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 W OAK AVE",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856076003",
            "telephone_number": "520-366-0335",
            "fax_number": "520-366-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CANYON INFECTIOUS DISEASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-366-0335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "19439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.