OCOTILLO PEDIATRICS PLLC (NPI# 1215115597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215115597 |
| Entity Type | Organization |
| Organization Name | OCOTILLO PEDIATRICS PLLC |
| Practice Address |
1701 W Saint Marys Rd Ste. 111 Tucson AZ 85745-2621 |
| Mailing Address |
Po Box 43160 Tucson AZ 85733-3160 |
| Practice Telephone | 5206170971 |
| Practice Fax Number | 5208828973 |
| Mailing Telephone | 5207223777 |
| Mailing Fax Number | 5202966224 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |
| Authorized Official Name | MICHELLE K FOTH (PRESIDENT) |
| Authorized Official Telephone | 5209717212 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 33568 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1701 W SAINT MARYS RD STE. 111 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114924412 | Natalie A Perkins | Pharmacist | 1701 W Saint Marys Rd, Suite 160, Tucson, AZ 85745-2621 | 2005-06-30 |
| 1639778400 | Jessica Rojas | Counselor | 1701 W Saint Marys Rd, Tucson, AZ 85745-2621 | 2020-10-22 |
| 1083198360 | Drew Michael Pease | Marriage & Family Therapist | 1701 W Saint Marys Rd, Tucson, AZ 85745-2621 | 2018-09-21 |
| 1275074015 | Nicholas A. Ransom Professional Corporation | Specialist | 1701 W Saint Marys Rd, Ste 114, Tucson, AZ 85745-2621 | 2017-03-13 |
| 1043764467 | Stephanie L Teubner | Nurse Practitioner | 1701 W Saint Marys Rd, Suite 160, Tucson, AZ 85745-2621 | 2016-08-15 |
| 1003275413 | Sparcc Professional Corporation | Family Medicine | 1701 W Saint Marys Rd, Tucson, AZ 85745-2621 | 2016-02-12 |
| 1073971057 | Grossman & Grossman Ltd | Community/Behavioral Health | 1701 W Saint Marys Rd, Suite 124, Tucson, AZ 85745-2621 | 2016-02-04 |
| 1902151251 | Vimbai Nyemba | Internal Medicine | 1701 W Saint Marys Rd, Tucson, AZ 85745-2621 | 2012-07-23 |
| 1669775789 | Westside Internal Medicine Group Pllc | Clinic/Center | 1701 W Saint Marys Rd, Suite 114, Tucson, AZ 85745-2621 | 2010-12-10 |
| 1477853042 | Adam K Lovallo | Counselor | 1701 W Saint Marys Rd, Ste 160, Tucson, AZ 85745-2621 | 2010-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1952965212 | Jeremey William Gneck | Pediatrics | 1625 N Campbell Ave Tucson Az 85719, Tucson, AZ 85724-0001 | 2019-04-23 |
| 1992295158 | Melanie Anne Kaplanek | Pediatrics | 1501 N Campbell Ave Rm 3301, Tucson, AZ 85724-0001 | 2018-05-14 |
| 1003352154 | Pleasant Pediatrics Plc | Pediatrics | 1601 N Oracle Rd, Tucson, AZ 85705-6440 | 2017-01-13 |
| 1134570211 | Eryn Simmons | Pediatrics | 1620 W Commerce Ct, Tucson, AZ 85746-6005 | 2016-06-29 |
| 1063860518 | Rachael Charles | Pediatrics | 2621 N Woodland Rd, Tucson, AZ 85749-9576 | 2016-05-25 |
| 1376998294 | Drew Carter Johnson | Pediatrics | 1625 N Campbell Ave Rm 3301, Tucson, AZ 85719-4330 | 2016-04-28 |
| 1609280742 | Emily Nicole Lawson | Pediatrics | 826 W Placita Estrella Azul, Tucson, AZ 85713-1595 | 2014-06-17 |
| 1598184020 | John Paul Jarczyk | Pediatrics | University of Arizona Dept of Pediatrics, 1501 N. Campbell Ave., Tucson, AZ 85724-0001 | 2014-04-11 |
| 1558780346 | Leo Warren Landau Md | Pediatrics | 11702 E Saint James Rd, Tucson, AZ 85748-7928 | 2014-04-09 |
| 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.