Kachina Medical Center LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KACHINA MEDICAL CENTER LTD

Practice address

7700 E Indian School Rd
Suite 1
Scottsdale, AZ 85251-4043

Phone

(480) 947-7784

Fax

(480) 945-8395

NPI assigned

Mar 21, 2011

Last updated

Aug 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Barry Clothier, MD

Title

President

Phone

(480) 947-7784

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1700185436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 E INDIAN SCHOOL RD",
            "address_2": "SUITE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514043",
            "telephone_number": "480-947-7784",
            "fax_number": "480-945-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 E INDIAN SCHOOL RD",
            "address_2": "SUITE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514043",
            "telephone_number": "480-947-7784",
            "fax_number": "480-945-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KACHINA MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "CLOTHIER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-947-7784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.