TLC HEALTHCARE MEDICAL GROUP PC (NPI# 1720157464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720157464 |
| Entity Type | Organization |
| Organization Name | TLC HEALTHCARE MEDICAL GROUP PC |
| Other Organization Name | SCOTT M BOLHACK MD PC |
| Practice Address |
5130 North Circulo Sobrio Tucson AZ 85718-6036 |
| Mailing Address |
2850 North Country Club Road Tucson AZ 85716-1910 |
| Practice Telephone | 5206700745 |
| Practice Fax Number | 5205094496 |
| Mailing Telephone | 5203226274 |
| Mailing Fax Number | 5205094496 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | DR. SCOTT M BOLHACK (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5206700745 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
20393 | AZ | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
20393 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 328958 | 05 |
| Other Name | Type Code |
|---|---|
| Scott M Bolhack MD PC | Doing Business As Name - Organization |
| TLC HealthCare Medical Group, PC | Doing Business As Name - Organization |
| Street Address |
5130 NORTH CIRCULO SOBRIO |
| City | TUCSON |
| State | AZ |
| Zip Code | 85718-6036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730160573 | Scott M Bolhack | Internal Medicine | 5130 North Circulo Sobrio, Tucson, AZ 85718-6036 | 2005-11-09 |
| 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 | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336514116 | Angela Paniagua-vega Md PC | Family Medicine | 3063 E Placita Santa Lucia, Tucson, AZ 85716-0814 | 2015-12-05 |
| 1750653705 | Carol L Howe | Family Medicine | 1501 N Cambell Ave, Tucson, AZ 85724-5079 | 2012-02-07 |
| 1942346267 | Evan W Kligman M D P C | Family Medicine | 4635 E Fort Lowell Rd, Tucson, AZ 85712-1110 | 2007-01-30 |
| 1942233689 | Evan W Kligman | Family Medicine | 2802 N Alvernon Way, Suite 200, Tucson, AZ 85712-1500 | 2006-07-08 |
| 1871850453 | Kentromed, Pllc | Family Medicine | 6130 N La Cholla Blvd Ste 117, Tucson, AZ 85741-3589 | 2012-04-19 |
| 1003898388 | David L Massanari | Family Medicine | 3945 E Paradise Falls Drive, Ste 201, Tucson, AZ 85712-6687 | 2005-11-14 |
| 1962483651 | Frances Jane Heaton | Family Medicine | 1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-1162 | 2005-11-09 |
| 1952382640 | Melvin Hector | Family Medicine | 3945 E Paradise Falls Drive, Ste 201, Tucson, AZ 85712-6687 | 2005-11-09 |
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| 1770023129 | Comprehensive Ambulatory Healthcare L.l.c | Family Medicine | 18362 N 94th Pl, Scottsdale, AZ 85255-6001 | 2017-03-05 |
| 1609201078 | Rise Wellness Center PC | Family Medicine | 15300 N 90th St Ste 950, Scottsdale, AZ 85260-2774 | 2013-09-04 |
| 1366796773 | Medical Group of Arizona, LLC | Family Medicine | 13430 N. Black Canyon Highway, Suite 100, Phoenix, AZ 85029-1310 | 2012-11-07 |
| 1851612329 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 2345 E. Thomas Rd, Suite # 420, Phoenix, AZ 85016 | 2010-06-18 |
| 1417181348 | Keyamed, Inc A P C | Family Medicine | 198 S Coronado Drive, Suite B, Sierra Vista, AZ 85635 | 2009-05-06 |
| 1265617013 | Shelly R Myers | Family Medicine | 4520 N 12th St, Suite #103, Phoenix, AZ 85014-4233 | 2007-12-28 |
| 1922282920 | Jerome J Kastrul Md Ltd | Family Medicine | 13000 N 103rd Ave #97, Sun City, AZ 85351-3060 | 2007-12-27 |
| 1215121512 | Parag Rasik Patel | Family Medicine | 126 S Coronado Dr, Suite B, Sierra Vista, AZ 85635-6354 | 2007-08-29 |
| 1225236367 | Thomas J Cuomo Jr Md PC | Family Medicine | 13835 N Tatum Blvd # 9468, Phoenix, AZ 85032-5581 | 2007-07-10 |
| 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.