MADERA MEDICAL CENTER, PC (NPI# 1841563244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841563244 |
| Entity Type | Organization |
| Organization Name | MADERA MEDICAL CENTER, PC |
| Practice Address |
100 E Ajo Way Tucson AZ 85713-6105 |
| Practice Telephone | 5208898879 |
| Practice Fax Number | 5202942911 |
| Mailing Telephone | 5208898879 |
| Mailing Fax Number | 5202942911 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2013-06-19 |
| Authorized Official Name | GERALD B ROTH (PRESIDENT) |
| Authorized Official Telephone | 5208898879 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
2224 | AZ | Ambulatory Health Care Facilities |
| Street Address |
100 E AJO WAY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-6105 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447881933 | Milagros Family Healthcare LLC | Clinic/Center | 11900 N La Canada Dr Unit 68222, Tucson, AZ 85737-4010 | 2020-02-03 |
| 1134770803 | Careatc | Clinic/Center | 5225 E Knight Dr Ste 201, Tucson, AZ 85712-2156 | 2019-09-24 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1013301670 | Nurse One's Wellness, Pllc | Clinic/Center | 15155 N Rugged Lark Dr, Tucson, AZ 85739-8304 | 2015-03-22 |
| 1265835599 | L Manciet Md, Phd and Associates Medical Weight Loss | Clinic/Center | 8553 N Silverbell Rd, Suite 101, Tucson, AZ 85743-9513 | 2014-10-01 |
| 1467713495 | Concentra Primary Care of Arizona Pa | Clinic/Center | 8555 N Silverbell Rd, Tucson, AZ 85743-7005 | 2012-06-06 |
| 1255546412 | Casa De Los Ninos | Clinic/Center | 1101 N. 4th Ave, Tucson, AZ 85705 | 2007-05-11 |
| 1619968419 | East Tucson Im & Geriatrics, Inc | Clinic/Center | 6556 E Carondelet Dr, Tucson, AZ 85710-2117 | 2005-10-31 |
| 1679116545 | Albert R. Fritz IIi D.o. P.l.l.c. | Clinic/Center | 101 W Ajo Way, Tucson, AZ 85713-6036 | 2019-10-23 |
| 1336706837 | Opulent Health LLC | Clinic/Center | 2001 W Orange Grove Rd Ste 312, Tucson, AZ 85704-1141 | 2019-05-21 |
| 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.