CARL F DIENER MD PC


Address: 5375 E Erickson Dr Ste 101, Tucson, AZ 85712-2838
Phone: 5203276267

CARL F DIENER MD PC (NPI# 1114393626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114393626
Entity Type Organization
Organization Name CARL F DIENER MD PC
Practice Address 5375 E Erickson Dr Ste 101
Tucson
AZ 85712-2838
Practice Telephone 5203276267
Practice Fax Number 5203210086
Mailing Telephone 5203276267
Mailing Fax Number 5203210086
Enumeration Date 2015-08-19
Last Update Date 2015-08-19
Authorized Official Name MS. MELANIE SKINNER (OFFICE MANAGER)
Authorized Official Telephone 5203276267
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
5462 AZ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 230730 05

Office Location

Street Address 5375 E ERICKSON DR STE 101
City TUCSON
State AZ
Zip Code 85712-2838

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1346572914 Cimarron Family Vision Center Clinic/Center 1600 N Kolb Rd Ste 212, Tucson, AZ 85715-4934 2010-02-08
1184805640 Gtl Properties LLC Clinic/Center 3605 W Cortaro Farms Rd, Suite 145, Tucson, AZ 85742-8683 2007-11-26
1932245974 Assured Imaging Women's Wellness of Southern Arizona, LLC Clinic/Center 7717 N Hartman Ln, Tucson, AZ 85743-9506 2007-01-29
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Competitor

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City TUCSON
Zip Code 85712

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Dataset Information

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.

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