NPIMap

Organization Active NPI

Cochise Group Anesthesia Services, LLC

  • Anesthesiology Physician
  • Sierra Vista, AZ
National Provider Identifier
1386850477
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
COCHISE GROUP ANESTHESIA SERVICES, LLC
Practice address
77 Calle Portal Ste B260A
Sierra Vista, AZ 85635-2967
Phone
(520) 515-9751
Fax
(520) 515-9786
NPI assigned
May 15, 2007
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Mrs. Martha Sutton
Title
Member
Phone
(520) 515-9751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

77 Calle Portal Ste B260A
Sierra Vista, AZ 85635-2967

Mailing address

77 Calle Portal Ste B260A
Sierra Vista, AZ 85635-2967
Phone (520) 515-9751

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1386850477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL STE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352967",
            "telephone_number": "520-515-9751",
            "fax_number": "520-515-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL STE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352967",
            "telephone_number": "520-515-9751",
            "fax_number": "520-515-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCHISE GROUP ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-515-9751",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "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 Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.