Papago Medical, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21105 Issued in AZ

Legal business name

PAPAGO MEDICAL, PC

Practice address

1729 Paseo San Luis
Sierra Vista, AZ 85635-4611

Phone

(520) 459-0144

Fax

(520) 459-8541

NPI assigned

Feb 1, 2007

Last updated

Aug 22, 2020By 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

David Michael Brown, M.D.

Title

Sole Proprietor

Phone

(520) 459-0144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710025051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 PASEO SAN LUIS",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354611",
            "telephone_number": "520-459-0144",
            "fax_number": "520-459-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 PASEO SAN LUIS",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354611",
            "telephone_number": "520-459-0144",
            "fax_number": "520-459-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPAGO MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "520-459-0144",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "21105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119562",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Isaac Pacheco Cano, MD
• Jacob Garrison Palmer, PHARMD.
• Ariel Sharon Palter, FNP-C, RN
• Panacea Physician Partners PLLC
• Pantano Behavioral Health Services, Inc
• Brenda R Parker, LPC
• Matthew Parker, DO
• Laurie Parks
• Noemi Pasaret
• Alyxandria Ann Paslay-Bennett, LCSW

• Family Medicine Physician in Sierra Vista, AZ
• Providers in Sierra Vista, 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 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.