SONORAN EAR NOSE AND THROAT (NPI# 1629475363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629475363 |
| Entity Type | Organization |
| Organization Name | SONORAN EAR NOSE AND THROAT |
| Practice Address |
6340 N Campbell Ave Suite 256 Tucson AZ 85718-3179 |
| Mailing Address |
Po Box 43160 Tucson AZ 85733-3160 |
| Practice Telephone | 5207753333 |
| Practice Fax Number | 5207753334 |
| Mailing Telephone | 5207223777 |
| Mailing Fax Number | 5202966224 |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |
| Authorized Official Name | DR. THOMAS S KANG (PRESIDENT) |
| Authorized Official Telephone | 5207753333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
6340 N CAMPBELL AVE SUITE 256 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85718-3179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750583951 | Ray Jonathan Lara | Otolaryngology | 6340 N Campbell Ave, 256, Tucson, AZ 85718-3179 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503103 | Janet Lee | Physical Therapist | 2720 E River Rd, Tucson, Az 85718, Tucson, AZ 85718 | 2017-12-07 |
| 1922519230 | Patricia Shumate Haebe | Naturopath | 7364 N Mountain Shadows Dr, Tucson, AZ 85718 | 2017-10-13 |
| 1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
| 1093245680 | Genevieve Antoinette Sansonetti-sice | Advanced Practice Midwife | 7252 N Placita Sin Codicia, Tucson, AZ 85718 | 2017-06-15 |
| 1609307354 | Tucson Hacienda River, LLC | Skilled Nursing Facility | 2720 E River Road, Tucson, AZ 85718 | 2017-03-24 |
| 1629524368 | Family First Senior Services | Durable Medical Equipment & Medical Supplies | 3837 N Forest Park Dr, Unit 122, Tucson, AZ 85718 | 2016-09-01 |
| 1326410069 | Desert Edge Holdings, LLC Dba Caring Senior Service | In Home Supportive Care | 1760 E. River Road, Suite 161, Tucson, AZ 85718 | 2015-10-21 |
| 1841676616 | Manal W Sabri | Speech-Language Pathologist | 1050 E River Plaza, Suite 100, Tucson, AZ 85718 | 2015-08-04 |
| 1538569983 | Kristen Zaporowski | Physical Therapist | 1800 East River Road, Suite #200, Tucson, AZ 85718 | 2014-09-03 |
| 1598101347 | Thomas Edmund Obrien | Surgery | 5240 Circulo Sobrio, Tucson, AZ 85718 | 2013-05-21 |
| Find all providers in zip 85718 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114546660 | Claire Marguerite Eileen Gleadhill | Otolaryngology | 1501 N Campell Ave, Tucson, AZ 85724-0001 | 2020-04-15 |
| 1215044789 | Thomas Joseph Tilsner | Otolaryngology | 6546 Carondelet Dr, Tucson, AZ 85710-2117 | 2006-08-23 |
| 1124135694 | Bernard J Miller | Otolaryngology | 6546 E Carondelet Dr, Tucson, AZ 85710 | 2006-08-23 |
| 1225041866 | James Roy Carlson | Otolaryngology | 3172 N Swan Rd, Tucson, AZ 85712-1227 | 2006-08-14 |
| 1528090008 | Robin Samlan | Otolaryngology | 1131 E Second St, Tucson, AZ 85721-0001 | 2006-07-07 |
| 1649216300 | Joseph M Small | Otolaryngology | 3982 N Campbell Ave, Tucson, AZ 85719 | 2006-06-21 |
| 1770531527 | Keith C. Soderberg | Otolaryngology | 2121 N Craycroft Rd Bldg 5, Tucson, AZ 85712-2801 | 2006-05-04 |
| 1114990892 | David A Parry | Otolaryngology | 1358 W. Orange Grove, Tucson, AZ 85704 | 2006-02-11 |
| 1700856069 | Heath Charles Tennyson | Otolaryngology | 395 N Silverbell Rd Ste 201, Tucson, AZ 85745-2719 | 2006-01-26 |
| 1528621679 | Andrew James Johnson | Otolaryngology | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-15 |
| 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.