Organization Active NPI

Cochise Digestive Health Center PLLC

  • Gastroenterology Physician
  • Sierra Vista, AZ
National Provider Identifier
1467764514
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
42912 Issued in AZ
Legal business name
COCHISE DIGESTIVE HEALTH CENTER PLLC
Practice address
75 Colonia de Salud
Suite 100B
Sierra Vista, AZ 85635-2487
Phone
(520) 335-6520
Fax
(520) 335-6548
NPI assigned
Jul 6, 2010
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Suzanne Miller Daly, MD
Title
Provider/Owner
Phone
(520) 335-6520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 42912 AZ Primary

Addresses

Primary practice location

75 Colonia de Salud
Suite 100B
Sierra Vista, AZ 85635-2487

Mailing address

75 Colonia de Salud
Suite 100B
Sierra Vista, AZ 85635-2487
Phone (520) 335-6520

National Provider Directory

National Provider Directory

Locations

75 Colonia de Salud
Ste 100B
Sierra Vista, AZ 85635
Phone (520) 335-6520

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1467764514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 COLONIA DE SALUD",
            "address_2": "SUITE 100B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352487",
            "telephone_number": "520-335-6520",
            "fax_number": "520-335-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 COLONIA DE SALUD",
            "address_2": "SUITE 100B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352487",
            "telephone_number": "520-335-6520",
            "fax_number": "520-335-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCHISE DIGESTIVE HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "520-335-6520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "42912",
            "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 Jul 6, 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.

Verify at the official NPI Registry.