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MOUNTAINSIDE SURGICAL ASSOCIATES
NPI 1457372393
Surgery in Cottonwood, AZ

Active since July 23, 2006
450 S WILLARD ST, STE 107, COTTONWOOD, AZ 86326(928) 639-0909 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountainside Surgical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAINSIDE SURGICAL ASSOCIATES (NPI 1457372393) is a healthcare organization registered as a surgery in Cottonwood, Arizona and active in the NPI registry since July 2006. The organization lists Mark Demar, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1457372393
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMOUNTAINSIDE SURGICAL ASSOCIATES
Location Address450 S WILLARD ST, STE 107Cottonwood, AZ 86326-2564
Mailing AddressPo Box 3850Cottonwood, AZ 86326-2607 · (928) 634-0665
Phone(928) 639-0909
Organization SubpartNo
Authorized OfficialMark DemarManaging Partner · (928) 639-0909
Enumeration DateJuly 23, 2006
Last NPPES UpdateNovember 7, 2007
✔ NPI 1457372393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
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.
450 S WILLARD ST, Cottonwood, AZ 86326
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Other Identifiers 1

Medicare PINZ63694AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK WINFRED WYLIE MD
Orthopaedic Surgery
450 S WILLARD ST, SUITE 105
COTTONWOOD, AZ 86326
Yavapai County (928) 634-1112
MR. GERARD H MOHAN APRN-BC
Nurse Practitioner (Family)
450 S WILLARD ST, SUITE 115
COTTONWOOD, AZ 86326
Yavapai County (928) 634-5551
ROXANN G LAFFERTY PA-C
Physician Assistant
450 S WILLARD ST, STE. 120
COTTONWOOD, AZ 86326
Yavapai County (928) 634-2574
TIMOTHY J FITCH PA-C
Physician Assistant
450 S WILLARD ST
COTTONWOOD, AZ 86326
Yavapai County (928) 649-7960
NORTHERN ARIZONA REHABILITATION & FITNESS
Physical Therapist
450 S WILLARD ST, STE 106
COTTONWOOD, AZ 86326
Yavapai County (928) 649-9726
DR. ELWOOD WILBUR HOPKINS, III MD, PHD
Psychiatry & Neurology (Neurology)
450 S WILLARD ST
COTTONWOOD, AZ 86326
Yavapai County (928) 649-7991
ALBERTI-CORREA FAMILY MEDICINE, PC
Clinic/Center (Urgent Care)
450 S WILLARD ST, SUITE 120
COTTONWOOD, AZ 86326
Yavapai County (928) 649-6477
UROLOLGY PROVIDERS OF NORTHERN ARIZONA
Clinic/Center (Ambulatory Surgical)
450 S WILLARD ST, STE 105
COTTONWOOD, AZ 86326
Yavapai County (928) 639-1311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountainside Surgical Associates's NPI number?

The NPI number for Mountainside Surgical Associates is 1457372393. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Mountainside Surgical Associates located?

Mountainside Surgical Associates is located at 450 S Willard St Ste 107, Cottonwood, AZ 86326. The listed phone number is (928) 639-0909.

What is Mountainside Surgical Associates's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mountainside Surgical Associates was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.