DR. MICHAEL DAVID SECKELER (NPI# 1568506186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568506186 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID SECKELER |
| Credential | MD |
| Practice Address |
1501 N Campbell Av Room 3302 Tucson AZ 85724 |
| Mailing Address |
Banner University Medical Center Po Box 245073 Tucson AZ 85724 |
| Practice Telephone | 5206265585 |
| Practice Fax Number | 5206266571 |
| Mailing Telephone | 5206265585 |
| Mailing Fax Number | 5206266571 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2018-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 35588 | AZ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0418 | MP | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
35588 | AZ | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
0101245020 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1501 N CAMPBELL AV ROOM 3302 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
| 1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
| 1255780789 | Elly Varma | Internal Medicine | 1501 N Campbell Avenue Com Room 6336, Department of Medicine, Tuscon, AZ 85724 | 2016-06-06 |
| 1295183234 | Elise Vo | Internal Medicine | 1501 N. Campbell- Room 6336, Tucson, AZ 85724 | 2016-06-01 |
| 1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
| 1023403623 | Laura Elizabeth Bach | Internal Medicine | 1501 N Campbell Ave Rm 6402, Tucson, AZ 85724 | 2015-03-31 |
| 1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
| 1447678016 | Kimberly Schmelzle Winsor | Student in an Organized Health Care Education/Training Program | 1501 N, Campbell Ave., Tucson, AZ 85724 | 2014-04-01 |
| 1710299276 | Jeffrey M Rice | Neurological Surgery | 1501 North Campbell Avenue, University of Arizona, Tucson, AZ 85724 | 2010-07-12 |
| 1558698464 | University of Arizona | General Acute Care Hospital | U of A Health Sciences Center - Umc Pediatrics, Campbell Ave, Tucson, AZ 85724 | 2009-11-13 |
| Find all providers in zip 85724 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326099615 | Jesus Carlos Macias | Pediatrics | 5983 E Grant Rd Ste 117, Tucson, AZ 85712-2366 | 2006-05-12 |
| 1396718524 | Richard Donnerstein | Pediatrics | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2006-02-08 |
| 1487626222 | Brent Jon Barber | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-02-06 |
| 1174058036 | Preston Joseph Boyer | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2017-04-27 |
| 1992804280 | Scott Edward Klewer | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-09-22 |
| 1487751947 | Daniela Lax | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-09-19 |
| 1386699510 | Gregory M Nichols | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-05-24 |
| 1629041470 | Stanley Julian Goldberg | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760660369 | John P Breinholt IIi | Pediatrics | Pediatric Cardiology, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2008-02-06 |
| 1104999887 | Wayne Chiavacci | Pediatrics | 1832 S 8th Ave, Yuma, AZ 85364-5517 | 2006-11-17 |
| 1316956709 | Christopher L Lindblade | Pediatrics | 10250 N 92nd St Ste 212, Scottsdale, AZ 85258-4519 | 2006-08-05 |
| 1366467094 | John Henry Stock | Pediatrics | 7505 S Mcclintock Dr, Suite 103, Tempe, AZ 85283-5042 | 2006-07-13 |
| 1649203480 | Clifton Worsham | Pediatrics | 5757 W Thunderbird Rd Ste E353, Glendale, AZ 85306-4688 | 2006-07-07 |
| 1336178607 | Jennifer Mary Rutledge | Pediatrics | 4327 E Lupine Ave, Phoenix, AZ 85028-2230 | 2006-06-30 |
| 1063455178 | Daniel E Miga | Pediatrics | 1432 S Dobson Rd Ste 512, Mesa, AZ 85202-4778 | 2006-06-14 |
| 1124079546 | Shabib A Alhadheri | Pediatrics | 936 W. Chandler Blvd., Suite #2, Chandler, AZ 85225 | 2006-05-12 |
| 1306826896 | Erik G Ellsworth | Pediatrics | 1501 N Gilbert Rd Ste 203, Gilbert, AZ 85234-2394 | 2006-01-19 |
| 1851376883 | Ernerio T. Alboliras | Pediatrics | 9440 E Ironwood Square Dr, Scottsdale, AZ 85258-4569 | 2005-12-13 |
| Find all providers with the same taxonomy | ||||
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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.