ERIKA R BRACAMONTE (NPI# 1235294182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235294182 |
| Entity Type | Individual |
| Full Name | ERIKA R BRACAMONTE |
| Credential | MD |
| Practice Address |
1501 N Campbell Ave Tucson AZ 85724-0001 |
| Mailing Address |
2701 E Elvira Rd Tucson AZ 85706-7124 |
| Practice Telephone | 5208744135 |
| Practice Fax Number | 5208747048 |
| Mailing Telephone | 5208744135 |
| Mailing Fax Number | 5208747048 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2008-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
36183 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 172281 | 05 | |
| AZ | MD LICENSE | 36183 | 01 |
| AZ | GROUP MEDICARE NUMBER | ZWCGCR | 01 |
| AZ | RR MEDICARE | P00387430 | 01 |
| Street Address |
1501 N CAMPBELL AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85724-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631481 | Rebecca Adele Millius | Family Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-5085 | 2005-07-01 |
| 1730707373 | Ilaria Vittoria De Martini | Radiology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-07-09 |
| 1427671239 | Rinku Skaria | Student in an Organized Health Care Education/Training Program | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-27 |
| 1801419452 | Kevin Joseph Moynahan | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-18 |
| 1912529710 | Jared Holley | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-14 |
| 1558983502 | Jon Hyrum Neilson II | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-13 |
| 1588286819 | Alexander Michael Mckitrick | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-08 |
| 1003437575 | Ashley Azizi Assadi | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-06 |
| 1003437872 | Mohammed Abbas | Orthopaedic Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-02 |
| 1578184420 | Savannah Nicole Davis | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
| 1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
| 1255780789 | Elly Varma | Internal Medicine | 1501 N Campbell Avenue Com Room 6336, Department of Medicine, Tuscon, AZ 85724 | 2016-06-06 |
| 1295183234 | Elise Vo | Internal Medicine | 1501 N. Campbell- Room 6336, Tucson, AZ 85724 | 2016-06-01 |
| 1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
| 1023403623 | Laura Elizabeth Bach | Internal Medicine | 1501 N Campbell Ave Rm 6402, Tucson, AZ 85724 | 2015-03-31 |
| 1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
| 1447678016 | Kimberly Schmelzle Winsor | Student in an Organized Health Care Education/Training Program | 1501 N, Campbell Ave., Tucson, AZ 85724 | 2014-04-01 |
| 1710299276 | Jeffrey M Rice | Neurological Surgery | 1501 North Campbell Avenue, University of Arizona, Tucson, AZ 85724 | 2010-07-12 |
| 1558698464 | University of Arizona | General Acute Care Hospital | U of A Health Sciences Center - Umc Pediatrics, Campbell Ave, Tucson, AZ 85724 | 2009-11-13 |
| Find all providers in zip 85724 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093856544 | Southern Arizona Pathology Associates, LLC. | Pathology | 1601 W. St. Mary's Road, Tucson, AZ 85745-2623 | 2007-02-09 |
| 1710052386 | Ronald S Weinstein | Pathology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-11-21 |
| 1528130861 | Richard E Sobonya | Pathology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-11-14 |
| 1740384130 | Paul M Sagerman | Pathology | 4582 N 1st Ave, Suite 120, Tucson, AZ 85718-8602 | 2006-09-07 |
| 1457466179 | Anna R Graham | Pathology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225122930 | Barnabas Newton | Pathology | 3929 E. Bell Rd., Phoenix, AZ 85032 | 2006-10-03 |
| 1962437475 | Shveta Mehra | Pathology | 2538 E University Dr, Ste 100, Phoenix, AZ 85034-6925 | 2006-07-12 |
| 1548240872 | Shobhana Shah | Pathology | 8826 N 23rd Ave, Phoenix, AZ 85021-4154 | 2006-01-20 |
| 1134567829 | Yasmeen Mahmood Butt | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2013-06-05 |
| 1962786228 | Maricopa County Forensic Science Center | Pathology | 701 W Jefferson St, Phoenix, AZ 85007-2908 | 2011-10-05 |
| 1649409681 | Brandon Todd Larsen | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2009-07-13 |
| 1841426202 | Hany Magharyous | Pathology | 4610 South 44th Place, Phoenix, AZ 85040 | 2009-05-29 |
| 1700024494 | Rish Kochikar Pai | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2009-02-03 |
| 1326207275 | Marcela Salomao | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2008-06-05 |
| 1306018692 | Rodelio C. Guintu | Pathology | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2008-03-27 |
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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.