MONICA R VANDIVORT (NPI# 1720044365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720044365 |
| Entity Type | Individual |
| Full Name | MONICA R VANDIVORT |
| Credential | M.D. |
| Practice Address |
2800 E Ajo Way Tucson AZ 85713-6204 |
| Mailing Address |
2701 E Elvira Rd Tucson AZ 85756-7124 |
| Practice Telephone | 5206948888 |
| Practice Fax Number | 5204582444 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2014-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
26972 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 445230 | 05 |
| Street Address |
2800 E AJO WAY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033105002 | Andrzej Honory | Psychiatry & Neurology | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2005-09-23 |
| 1962002584 | Carly Rae Moskowitz | Student in an Organized Health Care Education/Training Program | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-11-01 |
| 1730794207 | Rachel Ramirez | Nurse Practitioner | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-09-11 |
| 1356953954 | Johnathan Mougin | Registered Nurse | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-08-17 |
| 1689282279 | Armaan Dhaliwal | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-07-20 |
| 1881212264 | Anas Husni Mohamad Abu Assi | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-07-11 |
| 1801413620 | Niharika Vennelaganti | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713 | 2020-06-26 |
| 1134740970 | Anirudh Tadakamalla | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-05-04 |
| 1225659287 | Sakher Yousef Mahmoud Sarairah | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-04-30 |
| 1578184537 | Brian Schiffman | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698657 | Med-consults Pllc | Internal Medicine | 6262 N Swan Rd Ste 175, Tucson, AZ 85718-3645 | 2020-08-05 |
| 1194917716 | Stephanie Catherine Bravo | Internal Medicine | 4716 E Burns St, Tucson, AZ 85711-3015 | 2007-08-16 |
| 1568556561 | Vicki L Greiff Md | Internal Medicine | 1704 W Anklam, Suite 106, Tucson, AZ 85745 | 2006-10-03 |
| 1750328969 | Maressa M Alejandro Reyes | Internal Medicine | 1702 W. Anklam Road, Suite 111, Tucson, AZ 85745 | 2006-05-31 |
| 1598748428 | Milan Jansky | Internal Medicine | 1500 W Commerce Ct, Tucson, AZ 85746-6015 | 2005-11-23 |
| 1730160573 | Scott M Bolhack | Internal Medicine | 5130 North Circulo Sobrio, Tucson, AZ 85718-6036 | 2005-11-09 |
| 1295234615 | Emerald Care Pllc | Internal Medicine | 5390 E Erickson Dr, Tucson, AZ 85712-2822 | 2018-02-12 |
| 1285046706 | Shaun Chatelain | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724 | 2014-06-02 |
| 1487922290 | Kentromed Pllc | Internal Medicine | 6130 N La Cholla Blvd Ste 117, Tucson, AZ 85741-3589 | 2011-12-07 |
| 1528358322 | Bravo Geriatrics | Internal Medicine | 4716 E Burns St, Tucson, AZ 85711-3015 | 2011-04-13 |
| 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.