Jody Lynn Daggett, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Globe, AZ
NPI 1295710283 · NPPES record last updated Feb 15, 2017
Key facts
- NPI
- 1295710283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 11804 (AZ)
- Practice address
- 5860 S Hospital Dr
Ste 103
Globe, AZ 85501-9449 - Phone
- (928) 425-3193
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 12
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of Arizona College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- San Carlos Apache Healthcare Corporation
Practice addresses (Care Compare)
103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400
P O Box
Suite 787
Peridot, AZ 85542-0787
PO Box
Suite 787
Peridot, AZ 85542-0787
Hospital & facility affiliations
- San Carlos Apache Healthcare Corporation
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Cobre Valley Regional Medical Center |
Hospital | Corporate Director | Jan 20, 2016 |
| Cobre Valley Regional Medical Center |
Hospital | Corporate Director | Jan 20, 2016 |
| Pleasant Valley Community Medical Center |
Rural health clinic | Corporate Director | Jan 20, 2016 |
| Superior Clinic |
Rural health clinic | Corporate Director | Jan 20, 2016 |
| Cobre Valley Regional Medical Center |
Rural health clinic | Operational/Managerial Control | Jan 20, 2016 |
| Cobre Valley Regional Medical Center |
Rural health clinic | Corporate Director | Jan 20, 2016 |
| Cobre Valley Surgical Services |
Rural health clinic | Corporate Officer | Jan 20, 2016 |
| Tonto Basin Clinic |
Rural health clinic | Corporate Director | Jan 1, 2016 |
| Cobre Valley Red Rock Clinic |
Rural health clinic | Corporate Director | Jan 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120119000092 | AZ | Practitioner - Orthopedic Surgery | 2860577012 | Reassigns benefits to 2 organizations |
| I20160609001585 | TX | Practitioner - Orthopedic Surgery | 2860577012 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobre Valley Regional Medical Center | Current |
Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current |
Accepting new patients | |
| Cobre Valley Regional Medical Center | Current |
Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current |
Accepting new patients | |
| Cobre Valley Regional Medical Center | Current |
Accepting new patients |
Locations
5994 S Hospital Dr
Globe, AZ 85501
Phone (928) 425-7108
5882 S Hospital Dr
Ste 1
Globe, AZ 85501
Phone (928) 425-2474
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
5880 S Hospital Dr
Ste 103
Globe, AZ 85501
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
1134 W US Highway 60
Superior, AZ 85173
Phone (520) 689-2423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 11804 | AZ | Yes |
Addresses
Primary practice location
5860 S Hospital Dr
Ste 103
Globe, AZ 85501-9449
Mailing address
5880 S Hospital Dr
Ste 103
Globe, AZ 85501-9447
Phone (928) 425-3261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235102 | Medicaid | AZ |
Other providers in Globe, AZ
- Scott T. Croft
- Crossroads OBGYN, PC
- Fernando Cruzado
- CV OB GYN Women'S Healthcare
- CVD Care Globe LLC
- Russell Scott Dal Molin
- Jennifer Lyn Davis
- Natalija De Retana
- Desert Oasis Wellness Center, PLLC
- Desert Ophthalmology, P.C.
All providers in Globe, AZ · Orthopaedic Surgery Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.