CARONDELET MEDICAL GROUP NPI 1659696821

NPI Information

NPI: 1659696821
Provider Name: CARONDELET MEDICAL GROUP
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
6274 E GRANT RD
TUCSON, AZ
ZIP 85712
Phone: (520) 296-8333
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CARONDELET MEDICAL GROUP is a foot and ankle surgery podiatrist in Tucson, AZ. CARONDELET MEDICAL GROUP NPI is 1659696821. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6274 E GRANT RD
TUCSON, AZ
ZIP 85712-831
Phone: (520) 296-8333
Fax: (520) 296-8444

The provider's authorized official is Sonia Uribe .
The authorized official title is Credentialing Coordinator and has the following contact phone number (520) 872-7265.

The enumeration date for this NPI number is 3/31/2010 and was last updated on 3/31/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	0585	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	28667	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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