Organization Active NPI

Cochise Heart Center PLLC

  • Cardiovascular Disease Physician
  • Sierra Vista, AZ
National Provider Identifier
1295835882
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
COCHISE HEART CENTER PLLC
Practice address
75 Colonia de Salud
Suite 200B
Sierra Vista, AZ 85635-2487
Phone
(520) 417-0468
Fax
(520) 459-0526
NPI assigned
Sep 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
William G Elliott, DONPI 1649200403
Title
Member
Phone
(520) 417-0468

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

75 Colonia de Salud
Suite 200B
Sierra Vista, AZ 85635-2487

Mailing address

PO Box 30370
Tucson, AZ 85751-0370
Phone (520) 722-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130226000590 AZ Part B Supplier - Clinic/Group Practice 6608841598 Receives reassigned benefits from 1 practitioner
Practice locations: Sierra Vista, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0954010Cochise Heart Center, PLLC75 Colonia de Salud #200B, Sierra Vista, AZ 85635Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

Locations

75 Colonia de Salud
Ste 200B
Sierra Vista, AZ 85635
Phone (520) 320-7999

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": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1295835882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30370",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857510370",
            "telephone_number": "520-722-0777",
            "fax_number": "520-290-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 COLONIA DE SALUD",
            "address_2": "SUITE 200B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352487",
            "telephone_number": "520-417-0468",
            "fax_number": "520-459-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCHISE HEART CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-417-0468",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.