DR. KATHLEEN MARIE DUERKSEN (NPI# 1417966607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417966607 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN MARIE DUERKSEN |
| Credential | M.D. |
| Practice Address |
5979 E Grant Rd Suite 115 Tucson AZ 85712 |
| Practice Telephone | 5207518030 |
| Practice Fax Number | 5207510990 |
| Mailing Telephone | 5207518030 |
| Mailing Fax Number | 5207510990 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
21767 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 145252 | 05 |
| Street Address |
5979 E GRANT RD SUITE 115 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508836479 | Cecilia Dirks | Advanced Practice Midwife | 5979 E Grant Rd, Suite 107, Tucson, AZ 85712-2367 | 2006-01-24 |
| 1427450352 | Jamie Pacheco | Advanced Practice Midwife | 5979 E Grant Rd, Suite 107, Tucson, AZ 85712-2367 | 2014-09-23 |
| 1639474372 | Maya Z Adams | Advanced Practice Midwife | 5979 E Grant Rd, #107, Tucson, AZ 85712-2341 | 2011-01-11 |
| 1538355086 | Kathleen M Duerksen Md PC | Ophthalmology | 5979 E Grant Rd, Suite 115, Tucson, AZ 85712 | 2007-09-19 |
| 1114012606 | Judith M Butler | Advanced Practice Midwife | 5979 E Grant Rd, Suite 107, Tucson, AZ 85712-2367 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538355086 | Kathleen M Duerksen Md PC | Ophthalmology | 5979 E Grant Rd, Suite 115, Tucson, AZ 85712 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205305620 | Barnet Dulaney Perkins Eye Center II Pllc | Ophthalmology | 8763 E Bell Rd Ste 101, Scottsdale, AZ 85260-1318 | 2018-11-14 |
| 1184076028 | Desert Eyesthetics PC | Ophthalmology | 1754 E Boston St, Suite 103, Gilbert, AZ 85295-6238 | 2016-07-04 |
| 1821457532 | Oculoplastic Eye Surgeons of Phoenix P.l.c. | Ophthalmology | 13460 N 94th Dr, Suite L-1, Peoria, AZ 85381-4835 | 2016-02-23 |
| 1477590297 | William M Mcleish, Md, LLC | Ophthalmology | 1331 N 7th St, Suite290, Phoenix, AZ 85006-2754 | 2006-06-01 |
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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.