DR. CAROLYN BETH PACE, M.D. - NPI NUMBER 1578594974

Summary

Provider Name: DR. CAROLYN BETH PACE, M.D.

NPI Number: 1578594974

Clasification: Internal Medicine (207RR0500X)

Specialization: Rheumatology

Organization: CAROLYN B PACE MD PC

Address:
2600 E SOUTHERN AVE
SUITE K
TEMPE, AZ
ZIP 85282

Phone Number: (480) 456-6561



Detailed Information

DR. Carolyn Beth Pace, M.D. is a rheumatology internist in Tempe, AZ with 27 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. The assigned NPI number for this provider is 1578594974 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year: 1987

The provider's business address is:

2600 E SOUTHERN AVE
SUITE K
TEMPE, AZ
ZIP 85282-610
Phone: (480) 456-6561
Fax: (480) 491-3500

The enumeration date for this NPI number is 7/5/2006 and was last updated on 12/23/2009.

Map - Location of Practice

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Taxonomy Codes

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 207RR0500X Internal Medicine Rheumatology 22677 AZ Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 ZMD22677 MEDICARE PIN AZ
2 E89760 MEDICARE UPIN AZ

NPI Record

No. Field Name Field Value
1 NPI 1578594974
2 Entity Type Code 1
3 Provider Last Name Legal Name PACE
4 Provider First Name CAROLYN
5 Provider Middle Name BETH
6 Provider Name Prefix Text DR.
7 Provider Credential Text M.D.
8 Provider First Line Business Practice Location Address 2600 E SOUTHERN AVE
9 Provider Second Line Business Practice Location Address SUITE K
10 Provider Business Practice Location Address City Name TEMPE
11 Provider Business Practice Location Address State Name AZ
12 Provider Business Practice Location Address Postal Code 852827610
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 4804566561
15 Provider Business Practice Location Address Fax Number 4804913500
16 Provider Enumeration Date 7/5/2006
17 Last Update Date 12/23/2009
18 Provider Gender Code F
19 Healthcare Provider Taxonomy Code 1 207RR0500X
20 Provider License Number 1 22677
21 Provider License Number State Code 1 AZ
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 ZMD22677
24 Other Provider Identifier Type Code 1 08
25 Other Provider Identifier State 1 AZ
26 Other Provider Identifier 2 E89760
27 Other Provider Identifier Type Code 2 02
28 Other Provider Identifier State 2 AZ
29 Is Sole Proprietor N

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This page was last updated on: 3/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.