TUCSON FAMILY PRACTICE LLC (NPI# 1346609807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346609807 |
| Entity Type | Organization |
| Organization Name | TUCSON FAMILY PRACTICE LLC |
| Practice Address |
1601 N Tucson Blvd 40 Tucson AZ 85716-3425 |
| Mailing Address |
1601 N Tucson Blvd # 40 Tucson AZ 85716-3425 |
| Practice Telephone | 5203266845 |
| Practice Fax Number | 5203266848 |
| Mailing Telephone | 5203266845 |
| Mailing Fax Number | 5203266848 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | EUN MIN LEE (OWNER) |
| Authorized Official Telephone | 5203266845 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29485 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1601 N TUCSON BLVD 40 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821074758 | Eun Min Lee | Family Medicine | 1601 N Tucson Blvd, #40, Tucson, AZ 85716-3425 | 2005-12-22 |
| 1639716392 | Katelyn Solverson | Occupational Therapist | 1601 N Tucson Blvd, Tucson, AZ 85716-3425 | 2019-12-02 |
| 1437645843 | Kristen Banister | Counselor | 1601 N Tucson Blvd, Tucson, AZ 85716-3425 | 2018-07-09 |
| 1760925309 | Martin Edward Robillard | Dentist | 1601 N Tucson Blvd, Office Suite 11, Tucson, AZ 85716-3425 | 2016-11-30 |
| 1518310416 | David Martin Robillard | Dentist | 1601 N Tucson Blvd, Office Suite 11, Tucson, AZ 85716-3425 | 2016-07-15 |
| 1194193797 | Sharon Hendrickson Pfeil, M.s., Ccc, LLC | Clinic/Center | 1601 N Tucson Blvd, Ste. 5, Tucson, AZ 85716-3425 | 2015-09-13 |
| 1699143974 | Tucson Family Practice | Specialist | 1601 N Tucson Blvd, Suite 40, Tucson, AZ 85716-3425 | 2015-09-03 |
| 1265817209 | Megan Elizabeth Miller | Speech-Language Pathologist | 1601 N Tucson Blvd, St 6, Tucson, AZ 85716-3425 | 2015-07-20 |
| 1992192439 | Wendy White Lcsw | Social Worker | 1601 N Tucson Blvd, Suite 36, Tucson, AZ 85716-3425 | 2015-04-22 |
| 1144612417 | Breanne Rachelle Robison | Specialist | 1601 N Tucson Blvd, Tucson, AZ 85716-3425 | 2015-02-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| Find all providers in zip 85716 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493402 | Old Pueblo Mobile Medicine LLC | Family Medicine | 9721 E Colette St, Tucson, AZ 85748-2756 | 2020-06-29 |
| 1023641792 | Amy Fitzgerald | Family Medicine | 2442 E Blue Diamond Dr, Tucson, AZ 85718-6691 | 2020-02-20 |
| 1578194866 | Keto Consults LLC | Family Medicine | 7469 E Broadway Blvd Ste A, Tucson, AZ 85710-1487 | 2020-01-27 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1215440326 | Maryelizabeth Hunter | Family Medicine | 6890 E Sunrise Dr Ste 120-176, Tucson, AZ 85750-0738 | 2017-11-10 |
| 1164963591 | Shohei Sowid-shima | Family Medicine | 6860 E Sunrise Dr Ste 100, Tucson, AZ 85750-0733 | 2017-03-18 |
| 1588024178 | Norma A. Price | Family Medicine | 602 W Ajo Way, Tucson, AZ 85713-6046 | 2016-02-25 |
| 1801279617 | Mitul Vinodkumar Mehta | Family Medicine | 2355 N Wyatt Dr Ste 101, Tucson, AZ 85712-2120 | 2015-06-30 |
| 1649652280 | Angela Suhale Puthenveetil | Family Medicine | 8020 N Cortaro Rd Ste 150, Tucson, AZ 85743-8305 | 2015-06-19 |
| 1366821068 | Renewed Medical Health | Family Medicine | 3382 E Speedway Blvd, Tucson, AZ 85716-3936 | 2015-05-27 |
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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.