Active NPI
Urology Providers of Northern Arizona
- Urology Physician
- Cottonwood, AZ
National Provider Identifier
1245339811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGY PROVIDERS OF NORTHERN ARIZONA
- Practice address
- 450 S Willard St
Suite 105
Cottonwood, AZ 86326-6743 - Phone
- (928) 639-1311
- Fax
- (928) 639-1573
- NPI assigned
- Sep 21, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alex M Horchak, MD
- Title
- Physician
- Phone
- (928) 639-1311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
450 S Willard St
Suite 105
Cottonwood, AZ 86326-6743
Mailing address
450 S Willard St
Suite 105
Cottonwood, AZ 86326-6743
Phone (928) 639-1311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0329330 | Other | AZ | BCBS OF AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Urology Providers of Norhtern Arizona
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Cottonwood, AZ
- NPI 1134274319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245339811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 S WILLARD ST",
"address_2": "SUITE 105",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863266743",
"telephone_number": "928-639-1311",
"fax_number": "928-639-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 S WILLARD ST",
"address_2": "SUITE 105",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863266743",
"telephone_number": "928-639-1311",
"fax_number": "928-639-1573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY PROVIDERS OF NORTHERN ARIZONA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HORCHAK",
"authorized_official_first_name": "ALEX",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "928-639-1311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AZ",
"identifier": "AZ0329330",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, AZ
- Shannen Renee Trujillo, SLPA
- Jacalyn Tucker, PHARM D
- Daniel Tutelman, PHARMD
- United Surgical Associates, L.L.C. (United Surgery Center)
- Jaime Upegui-Gomez, M.D.
- Urololgy Providers of Northern Arizona
- Kevin K Vakili, MD
- Thomas Joseph Valente, M.D.
- Valley Verde Pain Physicians, PLLC
- David G Van de Wyngaerde, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.