Active NPI
Arizona Em-I Medical Services, P.C.
- Emergency Medicine Physician
- Cottonwood, AZ
National Provider Identifier
1407805658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- ARIZONA EM-I MEDICAL SERVICES, P.C.
- Practice address
- 269 S Candy LN
Cottonwood, AZ 86326-4158 - Phone
- (469) 401-2386
- NPI assigned
- May 7, 2006
- Last updated
- Jun 22, 2015
- 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
- Donald T Godbold Jr., MD
- Title
- President
- Phone
- (469) 401-2386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
269 S Candy LN
Cottonwood, AZ 86326-4158
Mailing address
13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331
Phone (469) 401-2386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040421000835 | AZ | Part B Supplier - Clinic/Group Practice | 8325034812 |
Receives reassigned benefits from 53 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Yuma, AZ |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Emergency Medicine Physician
- Lake Havasu City, AZ
- NPI 1619926532
O20040421000835
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434931200000",
"number": "1407805658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331",
"telephone_number": "469-401-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 S CANDY LN",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264158",
"telephone_number": "469-401-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA EM-I MEDICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-07",
"last_updated": "2015-06-22",
"status": "A",
"authorized_official_last_name": "GODBOLD",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-401-2386",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, AZ
- Karen E Apodaca, MD
- Applejack's Ranch
- Michael Anthony Aranda, D.O.
- Kyria Aiyana Arasim, LPC
- Arizona CVS Stores LLC (CVS Pharmacy #09319)
- Arizona Hand Therapy LLC
- Arizona Heart Specialists PLLC
- Arizona Physical Therapy Services of Cottonwood, LLC (Arizona Physical Therapy Services of Cottonwood)
- Arizona Smile Designers
- Seth Arnall, D.M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.