Active NPI
Willard Emergency Physicians
- Emergency Medicine Physician
- Cottonwood, AZ
National Provider Identifier
1598714743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- WILLARD EMERGENCY PHYSICIANS
- Practice address
- 269 S Candy LN
Cottonwood, AZ 86326-4158 - Phone
- (928) 639-6172
- NPI assigned
- May 7, 2006
- 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
- James L. Murphy
- Title
- Ex. V. P., Emcare Physician Provide
- Phone
- (800) 527-2145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
269 S Candy LN
Cottonwood, AZ 86326-4158
Mailing address
3916 State St
Suite 300
Santa Barbara, CA 93105-5602
Phone (805) 563-3011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0441980 | Other | AZ | BLUE SHIELD |
| 556574 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 69
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI 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": "1208649600000",
"number": "1598714743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3916 STATE ST",
"address_2": "SUITE 300",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931055602",
"telephone_number": "805-563-3011"
},
{
"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": "928-639-6172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLARD EMERGENCY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-07",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "EX. V. P., EMCARE PHYSICIAN PROVIDE",
"authorized_official_telephone_number": "800-527-2145"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "AZ0441980",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "556574",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.