EAST TUCSON IM & GERIATRICS, INC (NPI# 1619968419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619968419 |
| Entity Type | Organization |
| Organization Name | EAST TUCSON IM & GERIATRICS, INC |
| Practice Address |
6556 E Carondelet Dr Tucson AZ 85710-2117 |
| Practice Telephone | 5202968733 |
| Practice Fax Number | 5202968734 |
| Mailing Telephone | 5202968733 |
| Mailing Fax Number | 5202968734 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | DR. RAMAKRISHNAN SUBBUREDDIAR (PRESIDENT) |
| Authorized Official Telephone | 5202968733 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST TUCSON IM & GERIATRICS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
30466 | AZ | Ambulatory Health Care Facilities |
| Street Address |
6556 E CARONDELET DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881895159 | Vinny Krishnan Ram | Internal Medicine | 6556 E Carondelet Dr, Tucson, AZ 85710-2117 | 2007-05-31 |
| 1235108184 | Tucson Inpatient Medicine Pllc | Internal Medicine | 6556 E Carondelet Dr, Tucson, AZ 85710-2117 | 2006-03-14 |
| 1326016221 | Ram Subbureddiar | Internal Medicine | 6556 E Carondelet Dr, Tucson, AZ 85710-2117 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447881933 | Milagros Family Healthcare LLC | Clinic/Center | 11900 N La Canada Dr Unit 68222, Tucson, AZ 85737-4010 | 2020-02-03 |
| 1134770803 | Careatc | Clinic/Center | 5225 E Knight Dr Ste 201, Tucson, AZ 85712-2156 | 2019-09-24 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1013301670 | Nurse One's Wellness, Pllc | Clinic/Center | 15155 N Rugged Lark Dr, Tucson, AZ 85739-8304 | 2015-03-22 |
| 1265835599 | L Manciet Md, Phd and Associates Medical Weight Loss | Clinic/Center | 8553 N Silverbell Rd, Suite 101, Tucson, AZ 85743-9513 | 2014-10-01 |
| 1467713495 | Concentra Primary Care of Arizona Pa | Clinic/Center | 8555 N Silverbell Rd, Tucson, AZ 85743-7005 | 2012-06-06 |
| 1841563244 | Madera Medical Center, PC | Clinic/Center | 100 E Ajo Way, Tucson, AZ 85713-6105 | 2012-02-15 |
| 1255546412 | Casa De Los Ninos | Clinic/Center | 1101 N. 4th Ave, Tucson, AZ 85705 | 2007-05-11 |
| 1679116545 | Albert R. Fritz IIi D.o. P.l.l.c. | Clinic/Center | 101 W Ajo Way, Tucson, AZ 85713-6036 | 2019-10-23 |
| 1336706837 | Opulent Health LLC | Clinic/Center | 2001 W Orange Grove Rd Ste 312, Tucson, AZ 85704-1141 | 2019-05-21 |
| 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.