UNIVERSITY PHYSICIANS HEALTHCARE (NPI# 1730141243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730141243 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PHYSICIANS HEALTHCARE |
| Other Organization Name | KINO PHYSICIANS GROUP |
| Practice Address |
2800 E Ajo Way Tucson AZ 85713-6204 |
| Mailing Address |
2701 E Elvira Rd Tucson AZ 85756-7124 |
| Practice Telephone | 5208743500 |
| Practice Fax Number | 5208747048 |
| Mailing Telephone | 5208744135 |
| Mailing Fax Number | 5208747048 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2009-04-09 |
| Authorized Official Name | TANYA CASARES (CREDENTIALING LIAISON) |
| Authorized Official Telephone | 5208744135 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
BHH-2436 | AZ | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | BHH-2436 | AZ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
BHH-2436 | AZ | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | BHH-2436 | AZ | Behavioral Health & Social Service Providers |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
BHH-2436 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
BHH-2436 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
BHH-2436 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 863771 | 05 | |
| AZ | OTHER | 28426827 | 01 |
| AZ | DEA LICENSE # | BU8816920 | 01 |
| AZ | RR MEDICARE | DC6028 | 01 |
| Other Name | Type Code |
|---|---|
| Kino Physicians Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770742959 | University Physicians Healthcare | Clinic/Center | 2800 E. Ajo Way, Tucson, AZ 85713-3204 | 2008-06-03 |
| 1174923841 | University Physicians Healthcare | Clinic/Center | 1501 N Campbell Ave, 7opc, Tucson, AZ 85724-0001 | 2014-08-29 |
| 1760683494 | University Physicians Healthcare | Special Hospital | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2007-05-30 |
| 1104887199 | University Physicians Healthcare | General Acute Care Hospital | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2006-03-29 |
| Street Address |
2800 E AJO WAY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033105002 | Andrzej Honory | Psychiatry & Neurology | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2005-09-23 |
| 1962002584 | Carly Rae Moskowitz | Student in an Organized Health Care Education/Training Program | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-11-01 |
| 1730794207 | Rachel Ramirez | Nurse Practitioner | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-09-11 |
| 1356953954 | Johnathan Mougin | Registered Nurse | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-08-17 |
| 1689282279 | Armaan Dhaliwal | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-07-20 |
| 1881212264 | Anas Husni Mohamad Abu Assi | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-07-11 |
| 1801413620 | Niharika Vennelaganti | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713 | 2020-06-26 |
| 1134740970 | Anirudh Tadakamalla | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-05-04 |
| 1225659287 | Sakher Yousef Mahmoud Sarairah | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-04-30 |
| 1578184537 | Brian Schiffman | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466244 | Adam Colbert Md, Pllc | Psychiatry & Neurology | 2550 E River Rd Unit 13205, Tucson, AZ 85718-9527 | 2020-10-30 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1053974071 | Siddesh Gopalakrishnan | Psychiatry & Neurology | Department of Psychiatry, Bhp, 2800 E. Ajo Way, Tucson, AZ 85713-6204 | 2019-04-16 |
| 1124681358 | Alexander Paul Lang | Psychiatry & Neurology | 2800 E Ajo Way Dept Of, Tucson, AZ 85713-6204 | 2019-04-14 |
| 1437696127 | Tanya Underwood, Do, Pllc | Psychiatry & Neurology | 6700 N Oracle Rd Ste 121, Tucson, AZ 85704-7733 | 2017-01-19 |
| 1932584968 | Iris R Bell | Psychiatry & Neurology | 11961 N Tami Pl, Tucson, AZ 85737-9513 | 2015-07-20 |
| 1386045326 | Lisa R. Strober, Md, PC | Psychiatry & Neurology | 7500 N. Ave De Lisa, Tucson, AZ 85704-7047 | 2014-09-09 |
| 1699188110 | George Hadeed | Psychiatry & Neurology | 258 E River Rd Ste 110, Tucson, AZ 85704 | 2014-06-03 |
| 1457790602 | Nida Javed Syed | Psychiatry & Neurology | Univ of Arizona Psychiatry Department, 1501 North Campbell Ave., Tucson, AZ 85724-0001 | 2013-06-20 |
| 1538503594 | Lisa E. Goldman | Psychiatry & Neurology | 2030 E. Broadway #26, Tucson, AZ 85719 | 2013-04-22 |
| 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.