Provider Type Icon

COCHISE SURGICAL CARE PLLC NPI 1730109232


NPI Information

NPI: 1730109232
Provider Name: COCHISE SURGICAL CARE PLLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
75 COLONIA DE SALUD
SUITE 100 C
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 452-0144
Get Directions

COCHISE SURGICAL CARE PLLC is a surgery in Sierra Vista, AZ. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. COCHISE SURGICAL CARE PLLC NPI is 1730109232. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

75 COLONIA DE SALUD
SUITE 100 C
SIERRA VISTA, AZ
ZIP 85635-485
Phone: (520) 452-0144
Fax: (520) 452-0075

The provider's authorized official is Jody L Jenkins .
The authorized official title is Owner/physician and has the following contact phone number (520) 452-0144.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 4/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery23558ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G16345MEDICARE UPINARIZONA
2Z102044MEDICARE PINARIZONA
3322222MEDICAIDARIZONA
4AZ0776250OTHERARIZONABCBS PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.