OLD PUEBLO DERMATOLOGY LTD (NPI# 1003934977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003934977 |
| Entity Type | Organization |
| Organization Name | OLD PUEBLO DERMATOLOGY LTD |
| Practice Address |
1980 W Hospital Dr #307 Tucson AZ 85704-7802 |
| Practice Telephone | 5207427777 |
| Practice Fax Number | 5207429316 |
| Mailing Telephone | 5207427777 |
| Mailing Fax Number | 5207429316 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOSEPH DAVID SOSNOW (PRESIDENT) |
| Authorized Official Telephone | 5207427777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 9882 | AZ | Other Service Providers |
| Street Address |
1980 W HOSPITAL DR #307 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85704-7802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023001567 | Roy R. Gettel Mdpllc | Specialist | 1980 W Hospital Dr, Tucson, AZ 85704-7802 | 2005-08-30 |
| 1295913473 | R Christopher Dillon | Radiology | 1980 W Hospital Dr, Suite 204, Tucson, AZ 85704-7802 | 2008-02-10 |
| 1902094899 | Marcin Bartlomiej Turecki | Radiology | 1980 W Hospital Dr, Suite 204, Tucson, AZ 85704-7802 | 2007-10-04 |
| 1548466865 | Emi Masuda | Radiology | 1980 W Hospital Dr, Suite 204, Tucson, AZ 85704-7802 | 2007-06-24 |
| 1194869925 | Becky Stambaugh-heller | Specialist/Technologist, Other | 1980 W Hospital Dr, Ste. 111, Tucson, AZ 85704-7802 | 2007-02-16 |
| 1760546162 | Shahin Sean Amanat | Radiology | 1980 W Hospital Dr, Suite # 204, Tucson, AZ 85704-7802 | 2006-12-20 |
| 1457419921 | Joseph D Sosnow | Dermatology | 1980 W Hospital Dr, #307, Tucson, AZ 85704 | 2006-12-05 |
| 1356438964 | David L. Capaccio Do, Pllc | Internal Medicine | 1980 W Hospital Dr, Suite 309, Tucson, AZ 85704-7802 | 2006-10-06 |
| 1215037171 | David Jon Martin | Specialist | 1980 W Hospital Dr, #100, Tucson, AZ 85704-7802 | 2006-09-22 |
| 1134231251 | Kevin J Kelly | Radiology | 1980 W Hospital Dr, Suite 204, Tucson, AZ 85704-7802 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
| 1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
| 1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
| 1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
| 1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
| 1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
| Find all providers in zip 85704 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781048 | G Mason Garcia Md Pllc | Specialist | 6565 E Carondelet Dr Ste 225, Tucson, AZ 85710-3533 | 2017-10-12 |
| 1306362306 | Kirsten Voris | Specialist | 3319 E Linden St, Tucson, AZ 85716-3237 | 2017-08-21 |
| 1700332574 | Linda M Hixson | Specialist | 2122 N Craycroft Rd Suite 12, Tucson, AZ 85712-2849 | 2016-08-31 |
| 1194197400 | Kristin Palmer | Specialist | 9006 E Eagle Place, Tucson, AZ 85749 | 2015-10-26 |
| 1730551482 | Marjorie Elaine Mcginnis | Specialist | 1601 N Tucson Blvd Ste 6, Tucson, AZ 85716-3404 | 2015-10-21 |
| 1740662634 | Melissa Stablein | Specialist | 2559 E Fort Lowell Rd, Tucson, AZ 85716-1540 | 2015-06-26 |
| 1477984573 | David Lewis Earnest IIi | Specialist | 5225 N Calle Ladero, Tucson, AZ 85718-4917 | 2013-11-29 |
| 1174957260 | Alexa Iwaniuk | Specialist | 3357 N Country Club Rd, Apt 9, Tucson, AZ 85716-1367 | 2013-08-26 |
| 1558794842 | Gary Wayne Metz | Specialist | 6831 E Rosewood Cir, Tucson, AZ 85710-1215 | 2013-08-09 |
| 1265874580 | Darlene L Zimmer | Specialist | 8797 N Norway Spruce Rd, Tucson, AZ 85743-7151 | 2013-07-28 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.