Sierra Vista Internal Medicine, PLLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

E76714 Issued in AZ

Legal business name

SIERRA VISTA INTERNAL MEDICINE, PLLC

Practice address

75 Colonia de Salud
Suite 200a
Sierra Vista, AZ 85635-2487

Phone

(520) 458-8145

Fax

(877) 771-1056

NPI assigned

Jul 5, 2007

Last updated

Jun 10, 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

Teresa Marie Browning

Title

Office Manager

Phone

(520) 458-8145

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sierra Vista Internal Medicine PLLC

  • Family Medicine Physician
  • Sierra Vista, AZ
  • NPI 1689612293

  O20050331001078

  Same enrollment

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Joseph Knapp, M.D.

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1376735613
  Medicare reassignment NPD
• Thomas Alcott Harris, P.A.-C

  • Physician Assistant
  • Hereford, AZ
  • NPI 1396784989
  Medicare reassignment
• Alden G Cockburn, MD

  • Urology Physician
  • Taos, NM
  • NPI 1225135791
  NPD
• Richard J Massen, MD MBA

  • Surgery Physician
  • Asheville, NC
  • NPI 1356370894
  NPD

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1831397512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 COLONIA DE SALUD",
            "address_2": "SUITE 200A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352487",
            "telephone_number": "520-458-8145",
            "fax_number": "877-771-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 COLONIA DE SALUD",
            "address_2": "SUITE 200A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352487",
            "telephone_number": "520-458-8145",
            "fax_number": "877-771-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "BROWNING",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-458-8145"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "AZ",
            "license": "E76714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Vista Family Footcare PC
• Sierra Vista Fry Fire District
• Sierra Vista Fry Fire District (Fry Fire District)
• Sierra Vista Group Anesthesia Services, LTD
• Sierra Vista Internal Medicine PLLC
• Sierra Vista Medical Investors, LP (Life Care Center of Sierra Vista)
• Sierra Vista Medical Investors, LP (Life Care Center of Sierra Vista Rehabilitation Agency)
• Sierra Vista Obstetrics & Gynecology Inc
• Sierra Vista Pathology PC
• Sierra Vista Public School District #68

• Legal Medicine in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Legal Medicine in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.