Organization Active NPI

Sedona Urgent Care, LTD.

  • Urgent Care Clinic/Center
  • Sedona, AZ
National Provider Identifier
1902846785
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC2736 Issued in AZ
Legal business name
SEDONA URGENT CARE, LTD.
Practice address
2530 W Hwy 89a
BLDG a
Sedona, AZ 86336-5256
Phone
(928) 203-4813
Fax
(928) 203-0201
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Gordon S Tekell, M.D.
Title
President
Phone
(928) 203-4813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC2736 AZ Primary

Addresses

Primary practice location

2530 W Hwy 89a
BLDG a
Sedona, AZ 86336-5256

Mailing address

2530 W Hwy 89a
BLDG a
Sedona, AZ 86336-5256
Phone (928) 203-4813

Other identifiers 1

IdentifierTypeStateIssuer
544800MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1902846785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 W HWY 89A",
            "address_2": "BLDG A",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365256",
            "telephone_number": "928-203-4813",
            "fax_number": "928-203-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 W HWY 89A",
            "address_2": "BLDG A",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365256",
            "telephone_number": "928-203-4813",
            "fax_number": "928-203-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDONA URGENT CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "TEKELL",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-203-4813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC2736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544800",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.