PHILLIP JOHN DATTILO (NPI# 1861545048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861545048 |
| Entity Type | Individual |
| Full Name | PHILLIP JOHN DATTILO |
| Credential | DO |
| Practice Address |
1404 East Prince Road Tucson Cardiology Ltd Tucson AZ 85719 |
| Practice Telephone | 5203277494 |
| Practice Fax Number | 5203277493 |
| Mailing Telephone | 5203277494 |
| Mailing Fax Number | 5203277493 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2011-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 241 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
241 | AZ | Allopathic & Osteopathic Physicians |
| N | 207U00000X | Nuclear Medicine | 13 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 228420 | 05 |
| Street Address |
1404 EAST PRINCE ROAD TUCSON CARDIOLOGY LTD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801932744 | Tucson Cardiology Ltd | Internal Medicine | 1404 East Prince Road, Tucson Cardiology Ltd, Tucson, AZ 85719 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1427679406 | Mario Jaramillo | Internal Medicine | 2800 East Ajo Way Ste 100, Tucson, AZ 85724-5040 | 2020-05-01 |
| 1821633926 | Arunmozhi Dominic | Internal Medicine | 899 N Wilmot Rd # Az, Tucson, AZ 85711-1714 | 2019-11-12 |
| 1437612835 | Michele Amanda Relton Obert | Internal Medicine | 1501 N Campbell Ave Rm 6336i, Tucson, AZ 85724-5040 | 2019-04-11 |
| 1669935441 | Mei Lai So | Internal Medicine | 1501 N Campbell Ave Ste 6336, Tucson, AZ 85724-0001 | 2019-04-09 |
| 1255824363 | Sooraj Kumar | Internal Medicine | 2800 E Ajo Way Ste 100, Tucson, AZ 85713-6204 | 2018-06-13 |
| 1356832125 | Samuel Long | Internal Medicine | 5301 E Grant Rd Ofc, Tucson, AZ 85712-2805 | 2018-05-28 |
| 1295225399 | Ling Yi Obrand | Internal Medicine | Banner Health 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-05-14 |
| 1306335161 | Bhargav Patel | Internal Medicine | 1501 N Campbell Ave Rm 636, Tucson, AZ 85724-0001 | 2018-05-08 |
| 1316436975 | Rita Wadeea | Internal Medicine | 1501 N Campell Ave Room 6336, Tucson, AZ 85724-0001 | 2018-05-08 |
| 1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
| 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.