NPIMap

Organization Active NPI

Valley View Physician Practices LLC

Doing business as Valley View General and Vascular Surgery

  • Surgery Physician
  • Fort Mohave, AZ
National Provider Identifier
1386008506
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5566 Issued in AZ
Legal business name
VALLEY VIEW PHYSICIAN PRACTICES LLC
Doing business as
Valley View General and Vascular Surgery
Valley View Ear, Nose & Throat
Valley View OB/GYN
Practice address
1520 E Hammer LN
Ste 104
Fort Mohave, AZ 86426-6664
Phone
(928) 768-1200
Fax
(928) 768-1209
NPI assigned
Apr 13, 2016
Last updated
Jan 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Authorized official

Name
Charlotte E Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU
Otolaryngology Physician 207Y00000X NU
Surgery Physician 208600000X 5566 AZ Primary
Vascular Surgery Physician 2086S0129X 5566 AZ

Addresses

Primary practice location

1520 E Hammer LN
Ste 104
Fort Mohave, AZ 86426-6664

Mailing address

1520 E Hammer LN
Ste 104
Fort Mohave, AZ 86426-6664
Phone (928) 768-1200

Other practice location 1

5300 S Highway 95
Fort Mohave, AZ 86426-9251
Phone (928) 788-3649

Other names 3

  • VALLEY VIEW GENERAL AND VASCULAR SURGERY Doing business as
  • Valley View Ear, Nose & Throat Doing business as
  • Valley View OB/GYN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090424000481 AZ Part B Supplier - Clinic/Group Practice 7810045143 Receives reassigned benefits from 20 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bullhead City, AZ; Fort Mohave, AZ

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Valley View Physician Practices LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736640000000",
    "number": "1386008506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 E HAMMER LN",
            "address_2": "STE 104",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266664",
            "telephone_number": "928-768-1200",
            "fax_number": "928-768-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E HAMMER LN",
            "address_2": "STE 104",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266664",
            "telephone_number": "928-768-1200",
            "fax_number": "928-768-1209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 S Highway 95",
            "address_purpose": "LOCATION",
            "city": "Fort Mohave",
            "state": "AZ",
            "postal_code": "864269251",
            "country_code": "US",
            "telephone_number": "928-788-3649",
            "fax_number": "928-788-3653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY VIEW PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "5566",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "5566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY VIEW GENERAL AND VASCULAR SURGERY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley View Ear, Nose & Throat",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley View OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Mohave, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.