DR. OTTFRIED VONWALDENBURG (NPI# 1013091446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013091446 |
| Entity Type | Individual |
| Full Name | DR. OTTFRIED VONWALDENBURG |
| Credential | M.D. |
| Practice Address |
7900 S J Stock Rd Tucson AZ 85746-7012 |
| Practice Telephone | 5202952503 |
| Mailing Telephone | 5202952503 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0420005828 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 850471 | 05 |
| Street Address |
7900 S J STOCK RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85746-7012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157302 | Ton San Xavier Health Center | Clinic/Center | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2005-07-13 |
| 1376187286 | Chantel Benally | Social Worker | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2019-11-04 |
| 1285277335 | Karina Ruby Duenas | Social Worker | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2019-10-22 |
| 1073178547 | Frances Ann Sharliene | Registered Nurse | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2019-05-09 |
| 1154824233 | Tiffany Lynch | Registered Nurse | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2018-03-14 |
| 1023526290 | Anabel Aguayo | Social Worker | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2018-01-22 |
| 1508373762 | Beatrice Naliaka Muse | Registered Nurse | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2018-01-09 |
| 1457862856 | Nichole Jasmine Hardy | Registered Nurse | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2017-10-12 |
| 1306356324 | Lillian Marie Howden | Pharmacist | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2017-10-04 |
| 1154844355 | Gabriel James Claymore Cuny | Pharmacist | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303465 | Sighle U Singh | Registered Nurse | San Xavier Clinic, 7900 S. J. Stock Rd, Tucson, AZ 85746 | 2019-09-03 |
| 1669026167 | Midvale Park Dental Partners LLC | Dentist | 1979 W Valencia Rd, Tucson, AZ 85746 | 2019-08-01 |
| 1073167854 | Michael Whiting | Dentist | 1979 West Valencia Road, Tucson, AZ 85746 | 2019-07-30 |
| 1609328350 | Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | 10350 E. Drexel Rd. #130, Tucson, AZ 85746 | 2016-10-28 |
| 1790139624 | Jason Wilhoit | Counselor | 2345 N Castro Ave, Tucson, AZ 85746 | 2016-04-18 |
| 1851764344 | Yvonne M Escobar | Registered Nurse | 4400 W. Irvington Rd, Tucson, AZ 85746 | 2015-11-05 |
| 1841543626 | Dora Palacios | Contractor | 3042 W. Capistrano Rd., Tucson, AZ 85746 | 2012-10-18 |
| 1972854347 | Alfonzo Lopez II | Social Worker | 5436 South Camino De La Tiera, Tucson, AZ 85746 | 2012-09-26 |
| 1497030449 | Bhavin Patel | Pharmacist | 1550 W Valencia, Tucson, AZ 85746 | 2011-10-20 |
| 1427333012 | Brita A. Reams | Registered Nurse | 4700 S. Settler Avenue, Tucson, AZ 85746 | 2011-10-15 |
| Find all providers in zip 85746 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973406 | Pima County Physician Group | General Practice | 5155 E Farness Dr Ste 111b, Tucson, AZ 85712-2158 | 2020-05-13 |
| 1659932077 | Molden Enterprises LLC | General Practice | 6336 N Oracle Rd Ste 310, Tucson, AZ 85704-5486 | 2019-06-26 |
| 1174041768 | Lacey Brooke Mastroberte-padd | General Practice | 6464 N Oracle Rd, Tucson, AZ 85704-5620 | 2017-09-02 |
| 1346763877 | Kristi Lynn Mattson | General Practice | 16201 W Larkdale St, Tucson, AZ 85736-1230 | 2017-07-17 |
| 1477940609 | Hersh Vivek Goel | General Practice | 90 W River Rd, Tucson, AZ 85704-5130 | 2015-04-26 |
| 1649670860 | Woody Mcginnis | General Practice | 11010 E Pinal Vis, Tucson, AZ 85730-1520 | 2014-08-25 |
| 1912201260 | David Paul Myers, D.o., P.C. | General Practice | 750 S Craycroft Rd Ste 150, Tucson, AZ 85711-7132 | 2010-12-30 |
| 1467775338 | Rashid A Khan | General Practice | 2333 W Camino Del Aurora, Tucson, AZ 85742-9613 | 2010-03-08 |
| 1356582688 | Christian Peters D.o.p.c. | General Practice | 6070 W. Desert Marigold Ln, Tucson, AZ 85742 | 2009-03-17 |
| 1548457724 | Marvin L Bates | General Practice | 6707 W Calle Valerio, Tucson, AZ 85743-8113 | 2007-10-01 |
| 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.