Active NPI
Cochise Heart Center PLLC
- Cardiovascular Disease Physician
- Sierra Vista, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William G Elliott, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0954010 | Cochise Heart Center, PLLC | Certificate of waiver | Nov 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Sierra Vista, AZ
- NPI 1649200403
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
- Cochise Digestive Health Center PLLC
- Cochise Ear Nose and Throat Associates PLLC
- Cochise Group Anesthesia Services, LLC
- Cochise Health and Wellness PLC
- Cochise Heart and Vascular Center, LLC
- Cochise Lung Center, PLLC
- Cochise Medical Group PC
- Cochise Medical Oncology, LLC
- Cochise Oncology LLC
- Cochise Orthopaedic Surgeons PC
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.