DR. ERIC SCOTT BERENS (NPI# 1679578702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679578702 |
| Entity Type | Individual |
| Full Name | DR. ERIC SCOTT BERENS |
| Credential | MD |
| Practice Address |
6565 E Carondelet Dr # 235 Tucson AZ 85710-3533 |
| Practice Telephone | 5202965500 |
| Practice Fax Number | 5202965800 |
| Mailing Telephone | 5202965500 |
| Mailing Fax Number | 5202965800 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2019-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
20512 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 100751 | 05 | |
| AZ | MEDICARE RAILROAD | 770000038 | 01 |
| Street Address |
6565 E CARONDELET DR # 235 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043756380 | Erin Bottai | Nurse Practitioner | 6565 E Carondelet Dr, Ste. 300, Tucson, AZ 85710-2157 | 2017-01-10 |
| 1780849661 | William Earl Miller Jr. | Allergy & Immunology | 6565 E Carondelet Dr, Suite 335, Tucson, AZ 85710-2157 | 2008-07-21 |
| 1033386669 | Tracey Newlove | Dermatology | 6565 E Carondelet Dr, Suite 145, Tucson, AZ 85710-2157 | 2008-05-13 |
| 1811171952 | Southern Arizona Allergy Associates, PC | Allergy & Immunology | 6565 E Carondelet Dr, Suite 335, Tucson, AZ 85710-2157 | 2007-12-26 |
| 1689880601 | Richard A Cohn Mdpc | Internal Medicine | 6565 E Carondelet Dr, 225, Tucson, AZ 85710-2157 | 2007-05-15 |
| 1184842460 | Eric S. Berens, Md, PC | Surgery | 6565 E Carondelet Dr, Ste. 235, Tucson, AZ 85710-2157 | 2007-04-23 |
| 1578608535 | Arizona Community Physicians PC | Clinical Medical Laboratory | 6565 E Carondelet Dr, Suite 105, Tucson, AZ 85710-2157 | 2007-02-20 |
| 1871634725 | Tracy Lee Thomas | Dermatology | 6565 E Carondelet Dr, Suite 145, Tucson, AZ 85710-2157 | 2007-02-12 |
| 1376639146 | Greg Moss | Dentist | 6565 E Carondelet Dr, Suite #355, Tucson, AZ 85710-2157 | 2006-10-05 |
| 1235225012 | Andrew Martinssen | Dentist | 6565 E Carondelet Dr, Suite 355, Tucson, AZ 85710-2157 | 2006-10-05 |
| Find all providers in the same location | ||||
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| 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 |
| 1275876518 | Sara Catherine Mckeever | Surgery | 6565 E Carondelet Dr Ste 235, Tucson, AZ 85710-3533 | 2013-04-05 |
| 1619095908 | Arizona Endovascular Pllc | Surgery | 6377 E Tanque Verde Rd Ste 101, Tucson, AZ 85715-3839 | 2007-03-26 |
| 1568592558 | Tucson Vascular Surgery | Surgery | 1815 W St. Mary's Rd, Tucson, AZ 85745 | 2007-03-07 |
| 1679670483 | Luis R. Leon | Surgery | 2404 E River Rd Ste 100, Tucson, AZ 85718-6521 | 2006-09-20 |
| 1902913528 | Rhonda Carol Quick | Surgery | 1815 W St Marys Road, Tucson, AZ 85745-2653 | 2006-08-23 |
| 1609980499 | Bernardo Mendoza | Surgery | 1815 W Saint Marys Rd, Tucson, AZ 85745-2653 | 2006-08-18 |
| 1083606669 | John Paul Pacanowski | Surgery | 2404 E River Rd Bldg 2, Tucson, AZ 85718-6520 | 2005-08-18 |
| 1023013158 | Ronald A Kline | Surgery | 3900 E Broadway Blvd, Tucson, AZ 85711-3453 | 2005-06-15 |
| 1740802982 | Douglas Stockton | Surgery | 1501 N Campbell Ave Rm 4402, Tucson, AZ 85724-0001 | 2020-05-11 |
| 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.