DR. RAY JONATHAN LARA (NPI# 1750583951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750583951 |
| Entity Type | Individual |
| Full Name | DR. RAY JONATHAN LARA |
| Credential | D.O. |
| Practice Address |
6340 N Campbell Ave 256 Tucson AZ 85718-3179 |
| Practice Telephone | 5207753333 |
| Practice Fax Number | 5207753334 |
| Mailing Telephone | 5207753333 |
| Mailing Fax Number | 5207753334 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
5101015774 | MI | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
005067 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
6340 N CAMPBELL AVE 256 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85718-3179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629475363 | Sonoran Ear Nose and Throat | Otolaryngology | 6340 N Campbell Ave, Suite 256, Tucson, AZ 85718-3179 | 2014-11-24 |
| 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 | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972915403 | Jonnae Y Ostrom | Otolaryngology | 2121 N Craycroft Rd Bldg 5, Tucson, AZ 85712-2801 | 2014-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346662939 | Duane Martin | Otolaryngology | 1089 S Justine Ct, Gilbert, AZ 85296-8653 | 2014-01-15 |
| 1881038966 | Sidney Jonathan Starkman | Otolaryngology | 8560 E Shea Blvd Ste 110, Scottsdale, AZ 85260-6679 | 2013-04-19 |
| 1396097580 | About Face- Ear Nose & Throat Facial Plastic Surgery PC | Otolaryngology | 9767 N 91st St # B102, Scottsdale, AZ 85258-5086 | 2012-10-11 |
| 1528356284 | Michael Rodriguez | Otolaryngology | 20325 N 51st Ave Ste 154, Glendale, AZ 85308-4622 | 2011-07-15 |
| 1437387883 | Luis Vazquez | Otolaryngology | 2340 E Beardsley Rd, Suite 260, Phoenix, AZ 85024-1285 | 2009-06-24 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1427023456 | James John Bouzoukis | Otolaryngology | 9155 E Bell Rd, Scottsdale, AZ 85260 | 2006-02-22 |
| 1477553543 | Richard Lefroy Bailey | Otolaryngology | 3750 Hwy 95, Suite 101, Bullhead City, AZ 86442-6050 | 2005-07-29 |
| 1558618645 | Pamela S. Henderson, M.d., P.C. | Otolaryngology | 7425 E Shea Blvd Ste 105, Scottsdale, AZ 85260-6411 | 2012-08-08 |
| 1043523608 | Holden Facial Plastic Surgery A Professional Corporation | Otolaryngology | 9522 E San Salvador Dr, Suite 301, Scottsdale, AZ 85258-5557 | 2010-07-23 |
| 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.