NPIMap

Organization Active NPI

Northern Arizona Healthcare Corporation

Doing business as Northern Arizona Healthcare Medical Group Sleep- Cottonwood

  • Sleep Medicine (Otolaryngology) Physician
  • Cottonwood, AZ
National Provider Identifier
1255024733
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X
Legal business name
NORTHERN ARIZONA HEALTHCARE CORPORATION
Doing business as
Northern Arizona Healthcare Medical Group Sleep- Cottonwood
Practice address
1759 E Villa Dr Ste 313
Cottonwood, AZ 86326-5997
Phone
(928) 639-5095
NPI assigned
May 31, 2023
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN ARIZONA HEALTHCARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Robert Cofield
Title
Chief Operating Officer
Phone
(928) 773-2010

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS1201X
Sleep Medicine (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0012X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1759 E Villa Dr Ste 313
Cottonwood, AZ 86326-5997

Mailing address

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 213-6527

Other names 1

  • Northern Arizona Healthcare Medical Group Sleep- Cottonwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northern Arizona Healthcare Corporation14 organizations share this tax ID, including this one
Part of
Northern Arizona Healthcare Corporation

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1255024733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-213-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 E VILLA DR STE 313",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265997",
            "telephone_number": "928-639-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA HEALTHCARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN ARIZONA HEALTHCARE CORPORATION",
        "enumeration_date": "2023-05-31",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "COFIELD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "928-773-2010"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Arizona Healthcare Medical Group Sleep- Cottonwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.