NPIMap

Organization Active NPI

Northern Arizona Pulmonary Specialist

  • Pulmonary Disease Physician
  • Cottonwood, AZ
National Provider Identifier
1750424685
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
14852 Issued in AZ
Legal business name
NORTHERN ARIZONA PULMONARY SPECIALIST
Practice address
450 S Willard St
Suite 103
Cottonwood, AZ 86326-6743
Phone
(928) 634-4231
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Jeffrey E Arnold, MD
Title
Owner
Phone
(928) 634-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 14852 AZ Primary

Addresses

Primary practice location

450 S Willard St
Suite 103
Cottonwood, AZ 86326-6743

Mailing address

PO Box 424
Cottonwood, AZ 86326-0424
Phone (928) 634-0665

Other identifiers 1

IdentifierTypeStateIssuer
239120MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1750424685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863260424",
            "telephone_number": "928-634-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST",
            "address_2": "SUITE 103",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266743",
            "telephone_number": "928-634-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA PULMONARY SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-634-4231",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "14852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239120",
            "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 Nov 7, 2007; 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.