GREGORY MERRILL KOSHKARIAN (NPI# 1164425096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164425096 |
| Entity Type | Individual |
| Full Name | GREGORY MERRILL KOSHKARIAN |
| Credential | MD |
| Practice Address |
6080 N La Cholla Blvd # 200 Tucson AZ 85741-3533 |
| Mailing Address |
3709 N Campbell Ave Ste 201 Tucson AZ 85719-1563 |
| Practice Telephone | 5207978550 |
| Practice Fax Number | 5207976986 |
| Mailing Telephone | 5208383540 |
| Mailing Fax Number | 5203253526 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
24327 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE OF WA DEPT OF LABOR | 0143348 | 01 |
| AZ | PPO NEXT | 10055687 | 01 |
| WY | 1172298 00 | 05 | |
| AZ | HEALTH NET | 1Z3634 | 01 |
| CA | XPY196923 | 05 | |
| AZ | FIRST HEALTH | 1033508 | 01 |
| AZ | UNITED HEALTHCARE | 25-00275 | 01 |
| AZ | 351057 | 05 | |
| AZ | AETNA | 5132491 | 01 |
| AZ | PREFERRED HEALTH NETWORK | 102612 | 01 |
| WA | STATE OF WA HLTH & SOC SR | 8274243 | 01 |
| AZ | ONE HEALTH | 100666 | 01 |
| AZ | GHI | 2198525 | 01 |
| AZ | CCN | 5073466 | 01 |
| AZ | BCBS OF ARIZONA | AZ0860310 | 01 |
| AZ | CIGNA | 005502491 | 01 |
| AZ | RAILROAD MEDICARE | 060057126 | 01 |
| Street Address |
6080 N LA CHOLLA BLVD # 200 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85741-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263783 | Elizabeth Alta Attig | Internal Medicine | 6080 N La Cholla Blvd # 200, Tucson, AZ 85741-3533 | 2005-05-23 |
| 1235132838 | Heart Care of Southern Arizona, PC | Internal Medicine | 6080 N La Cholla Blvd # 200, Tucson, AZ 85741-3533 | 2005-05-27 |
| 1336142074 | Heriberto G Gutierrez | Internal Medicine | 6080 N La Cholla Blvd # 200, Tucson, AZ 85741-3533 | 2005-05-25 |
| 1366445280 | Jason L Stemmer | Nuclear Medicine | 6080 N La Cholla Blvd # 200, Tucson, AZ 85741-3533 | 2005-05-24 |
| 1700889615 | Paul Leslie Stamer | Physician Assistant | 6080 N La Cholla Blvd # 200, Tucson, AZ 85741-3533 | 2005-05-24 |
| 1225031131 | Gordon Kirk Watson | Internal Medicine | 6080 N La Cholla Blvd # 200, Tucson, AZ 85741-3533 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790237 | Taylor Seery Schwab | Occupational Therapist | Marana Unified School District, 7651 North Oldfather Dr, Tucson, AZ 85741 | 2020-11-03 |
| 1366095374 | Rita Jean Weatherholt | Counselor | 7382 N Lacholla Blvd., Tucson, AZ 85741 | 2019-07-18 |
| 1225690076 | Center for Pain Management LLC | Clinic/Center | 6060 N Fountain Drive, Tucson, AZ 85741 | 2019-07-02 |
| 1124506019 | Emily Jensen | Speech-Language Pathologist | Thornydale Elementary School, 7651 N Oldfather Rd, Tucson, AZ 85741 | 2018-08-01 |
| 1366954703 | Solterra La Cholla Operations, Lp | Assisted Living Facility | 6505 North La Cholla Blvd, Tucson, AZ 85741 | 2017-10-25 |
| 1932636123 | Tucson Digestive Institute LLC | Clinic/Center | 7566 N La Cholla Blvd Ste B, Tucson, AZ 85741 | 2017-05-18 |
| 1336591437 | Eugene Choi | Dentist | 7578 N. La Cholla Blvd, Tucson, AZ 85741 | 2016-07-13 |
| 1841672763 | Gang Li | Dentist | 2242 W Distant Song St., Tucson, AZ 85741 | 2015-06-27 |
| 1467870378 | Lisa Tucci | Nurse Practitioner | 7105 N. Lacholla Blvd., Tucson, AZ 85741 | 2014-03-29 |
| 1457639197 | Vanessa Moore | Speech-Language Pathologist | 3400 West Massingale Road, Tucson, AZ 85741 | 2011-07-29 |
| Find all providers in zip 85741 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1235577636 | Jennifer Juxiang Huang-tsang | Internal Medicine | 5170 E Glenn St Ste 130&160, Tucson, AZ 85712-1396 | 2013-06-06 |
| 1154663144 | James Eugene Dalen | Internal Medicine | 5305 N Via Velazquez, Tucson, AZ 85750-5989 | 2013-03-18 |
| 1821369919 | Roger Brian Johnson | Internal Medicine | 7595 E Placita Vista Del Bosque, Tucson, AZ 85715-3651 | 2012-01-20 |
| 1922313774 | Tushar Acharya | Internal Medicine | 1501 N Campbell Ave Rm 5153, Tucson, AZ 85724-0001 | 2010-08-17 |
| 1144549510 | Mark Ira Feldman, M.d. P.C. | Internal Medicine | 3801 N Campbell Ave Ste C, Tucson, AZ 85719-1448 | 2010-05-25 |
| 1114140738 | Arizona Cardiovascular Specialists, P.C. | Internal Medicine | 1601 N Swan Rd, Tucson, AZ 85712-4046 | 2007-04-11 |
| 1578574232 | Mohammad Reza Movahed Shariat Panahi | Internal Medicine | 6119 N Pinchot Rd, Tucson, AZ 85750-1297 | 2006-08-10 |
| 1275548000 | Goldberg Medical Services Inc | Internal Medicine | 3130 N Swan Rd, Tucson, AZ 85712-1227 | 2006-07-30 |
| 1427079987 | Timothy M Marshall | Internal Medicine | 5170 E Glenn St, Bldg 2, Ste. 160, Tucson, AZ 85712-1337 | 2006-07-21 |
| 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.