TUCSON LONG TERM CARE MEDICAL GROUP (NPI# 1831299932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831299932 |
| Entity Type | Organization |
| Organization Name | TUCSON LONG TERM CARE MEDICAL GROUP |
| Practice Address |
1775 E Skyline Dr Ste 101 Tucson AZ 85718-1162 |
| Practice Telephone | 5206156200 |
| Practice Fax Number | 5206156255 |
| Mailing Telephone | 5206156200 |
| Mailing Fax Number | 5206156255 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SCOTT M BOLHACK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5206156200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | NONE | AZ | Ambulatory Health Care Facilities |
| Street Address |
1775 E SKYLINE DR STE 101 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85718-1162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508857095 | Kathryn M Tynan | Nurse Practitioner | 1775 E Skyline Dr, Suite 101, Tucson, AZ 85718-9101 | 2005-11-02 |
| 1952627572 | Matthew Thomas Connell | Obstetrics & Gynecology | 1775 E Skyline Dr, Suite 175, Tucson, AZ 85718-9101 | 2010-04-08 |
| 1902045339 | Sharon J Bransky | General Practice | 1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-9101 | 2009-02-09 |
| 1437309580 | Myunghan Choi | Nurse Practitioner | 1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-9101 | 2008-09-25 |
| 1699819623 | Gregory John Stevenson | Nurse Practitioner | 1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-9101 | 2007-02-15 |
| 1508949561 | Elaine J Charteris | Nurse Practitioner | 1775 E Skyline Dr, #101, Tucson, AZ 85718-1162 | 2006-10-23 |
| 1194821165 | Indu S Partha | Internal Medicine | 1775 E Skyline Dr, Suite 101, Tucson, AZ 85718-9101 | 2006-09-16 |
| 1609891464 | Anna Desimone | Nurse Practitioner | 1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-1162 | 2006-07-13 |
| 1316995376 | Tlc Pain & Palliative Medicine Practice, Inc | Pain Medicine | 1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-1162 | 2006-05-04 |
| 1952369324 | Tlc Medical Group - Catalina Foothills | Clinic/Center | 1775 E Skyline Dr, Ste 175, Tucson, AZ 85718-1162 | 2006-05-03 |
| Find all providers in the same location | ||||
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003436197 | Omo Ije's'a Pllc | Clinic/Center | 7309 E 28th St, Tucson, AZ 85710-5505 | 2020-04-20 |
| 1780216119 | Desert Blossom Speech & Language Center LLC | Clinic/Center | 7670 E Broadway Blvd Ste 303, Tucson, AZ 85710-3779 | 2020-02-04 |
| 1720619810 | Grateful Healling LLC | Clinic/Center | 5065 E 5th St, Tucson, AZ 85711-2113 | 2020-01-28 |
| 1144795147 | Maverick Medical Billing Services, LLC | Clinic/Center | 8340 N Thornydale Rd Ste 110203, Tucson, AZ 85741-1162 | 2018-10-05 |
| 1215424668 | Tucson/lenox, LLC - Health Clinic | Clinic/Center | 8600 E. Rockcliff Road, Tucson, AZ 85750-9733 | 2018-04-20 |
| 1104354752 | Sunbelt Medical Group LLC | Clinic/Center | 2850 North Country Club Road, Tucson, AZ 85716-1910 | 2017-05-26 |
| 1093183535 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 1010 E Palmdale St, Suite 150, Tucson, AZ 85714-3308 | 2015-09-14 |
| 1588059018 | Larry I Mann, Md | Clinic/Center | 3024 N Placita Fuente, Tucson, AZ 85715-3429 | 2015-04-01 |
| 1023448859 | Gary Olsen | Clinic/Center | 2450 E Speedway Blvd Ste 6, Tucson, AZ 85719-4748 | 2013-11-14 |
| 1770921934 | Zen Wei, Pllc | Clinic/Center | 3333 N Campbell Ave Ste 12, Tucson, AZ 85719-2362 | 2013-06-10 |
| 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.