Organization Active NPI

Cottonwood Pediatrics, PLC

  • Primary Care Clinic/Center
  • Tucson, AZ
National Provider Identifier
1679617138
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
31655 Issued in AZ
Legal business name
COTTONWOOD PEDIATRICS, PLC
Practice address
9356 E Rita Rd
Suite 140
Tucson, AZ 85747-6302
Phone
(520) 690-5437
Fax
(520) 574-1174
NPI assigned
Feb 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christopher Paul Hickie, M.D.
Title
Owner
Phone
(520) 690-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 31655 AZ Primary

Addresses

Primary practice location

9356 E Rita Rd
Suite 140
Tucson, AZ 85747-6302

Mailing address

9356 E Rita Rd
Suite 140
Tucson, AZ 85747-6302
Phone (520) 690-5437

Other names 1

  • Cottonwood Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

9356 E Rita Rd
Ste 140
Tucson, AZ 85747
Phone (520) 379-7079

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679617138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9356 E RITA RD",
            "address_2": "SUITE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857476302",
            "telephone_number": "520-690-5437",
            "fax_number": "520-574-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9356 E RITA RD",
            "address_2": "SUITE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857476302",
            "telephone_number": "520-690-5437",
            "fax_number": "520-574-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD PEDIATRICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKIE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-690-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "31655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottonwood Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.