Active NPI
Cochise Lung Center, PLLC
- Pulmonary Disease Physician
- Sierra Vista, AZ
National Provider Identifier
1326365347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- COCHISE LUNG CENTER, PLLC
- Practice address
- 198 S Coronado Dr
Suite a
Sierra Vista, AZ 85635-6354 - Phone
- (520) 417-0542
- Fax
- (520) 417-0581
- NPI assigned
- Apr 29, 2010
- Last updated
- Jun 29, 2010
- 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
- Dr. Jihad Georges Youssef, M.D.
- Title
- Sole Member
- Phone
- (520) 417-0542
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | AZ | ||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 188704 | AZ | |
| Pulmonary Disease Physician | 207RP1001X | AZ | Primary | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 188704 | AZ |
Addresses
Primary practice location
198 S Coronado Dr
Suite a
Sierra Vista, AZ 85635-6354
Mailing address
PO Box 30370
Tucson, AZ 85751-0370
Phone (520) 722-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 525063 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277769600000",
"number": "1326365347",
"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": "198 S CORONADO DR",
"address_2": "SUITE A",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856356354",
"telephone_number": "520-417-0542",
"fax_number": "520-417-0581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COCHISE LUNG CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-29",
"last_updated": "2010-06-29",
"status": "A",
"authorized_official_last_name": "YOUSSEF",
"authorized_official_first_name": "JIHAD",
"authorized_official_middle_name": "GEORGES",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "520-417-0542",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AZ",
"license": "188704",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AZ",
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "AZ",
"license": "188704",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "525063",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
- Cochise Ear Nose and Throat Associates PLLC
- Cochise Group Anesthesia Services, LLC
- Cochise Health and Wellness PLC
- Cochise Heart and Vascular Center, LLC
- Cochise Heart Center PLLC
- Cochise Medical Group PC
- Cochise Medical Oncology, LLC
- Cochise Oncology LLC
- Cochise Orthopaedic Surgeons PC
- Cochise Sleep Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.