NPIMap

Individual provider Active NPI

Jody Lynn Daggett, MD

  • Orthopaedic Surgery Physician
  • Globe, AZ
National Provider Identifier
1295710283
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
11804 Issued in AZ
Practice address
5860 S Hospital Dr
Ste 103
Globe, AZ 85501-9449
Phone
(928) 425-3193
NPI assigned
Dec 13, 2005
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 11804 AZ Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120119000092 AZ Practitioner - Orthopedic Surgery 2860577012 Reassigns benefits to 2 organizations
I20160609001585 TX Practitioner - Orthopedic Surgery 2860577012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arizona College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation CurrentSince May 20, 2016 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince May 20, 2016 Accepting new patients
Cobre Valley Regional Medical Center CurrentSince Feb 29, 2016 Accepting new patients
Cobre Valley Regional Medical Center CurrentSince Feb 29, 2016 Accepting new patients
Cobre Valley Regional Medical Center CurrentSince Nov 12, 2025 Accepting new patients

Locations

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

5880 S Hospital Dr
Ste 103
Globe, AZ 85501

5882 S Hospital Dr
Ste 1
Globe, AZ 85501
Phone (928) 425-2474

5994 S Hospital Dr
Globe, AZ 85501
Phone (928) 425-7108

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

1134 W US Highway 60
Superior, AZ 85173
Phone (520) 689-2423

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cobre Valley Regional Medical CenterGlobe, AZ, CCN 031314 Hospital Corporate Director Jan 20, 2016
Cobre Valley Regional Medical CenterGlobe, AZ, CCN 03Z314 Hospital Corporate Director Jan 20, 2016
Pleasant Valley Community Medical CenterYoung, AZ, CCN 038500 Rural health clinic Corporate Director Jan 20, 2016
Superior ClinicSuperior, AZ, CCN 033993 Rural health clinic Corporate Director Jan 20, 2016
Cobre Valley Regional Medical CenterKearny, AZ, CCN 033997 Rural health clinic Operational/Managerial Control Jan 20, 2016
Cobre Valley Regional Medical CenterGlobe, AZ, CCN 038506 Rural health clinic Corporate Director Jan 20, 2016
Cobre Valley Surgical ServicesGlobe, AZ, CCN 038510 Rural health clinic Corporate Officer Jan 20, 2016
Tonto Basin ClinicTonto Basin, AZ, CCN 038513 Rural health clinic Corporate Director Jan 1, 2016
Cobre Valley Red Rock ClinicGlobe, AZ, CCN 038514 Rural health clinic Corporate Director Jan 1, 2016

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1295710283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 S HOSPITAL DR",
            "address_2": "STE 103",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019447",
            "telephone_number": "928-425-3261",
            "fax_number": "928-425-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 S HOSPITAL DR",
            "address_2": "STE 103",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019449",
            "telephone_number": "928-425-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGGETT",
        "first_name": "JODY",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "11804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Globe, AZ

Sources for this page

Verify at the official NPI Registry.