Organization Active NPI

John Schor MD PLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Cottonwood, AZ
National Provider Identifier
1871683482
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
34465 Issued in AZ
Legal business name
JOHN SCHOR MD PLC
Practice address
450 S Willard St
Ste 107
Cottonwood, AZ 86326-6743
Phone
(928) 639-0909
Fax
(928) 639-4632
NPI assigned
Oct 13, 2006
Last updated
Nov 7, 2007By the provider in NPPES
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
John Schor, MD
Title
Owner
Phone
(928) 639-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X 34465 AZ Primary

Addresses

Primary practice location

450 S Willard St
Ste 107
Cottonwood, AZ 86326-6743

Mailing address

PO Box 4445
Cottonwood, AZ 86326-2621
Phone (928) 639-0909

Other identifiers 1

IdentifierTypeStateIssuer
131591MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1871683482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4445",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863262621",
            "telephone_number": "928-639-0909",
            "fax_number": "928-639-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST",
            "address_2": "STE 107",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266743",
            "telephone_number": "928-639-0909",
            "fax_number": "928-639-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SCHOR MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "SCHOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-639-0909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "34465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131591",
            "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.