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CARONDELET MEDICAL GROUP INC NPI 1659326585


NPI Information

NPI: 1659326585
Provider Name: CARONDELET MEDICAL GROUP, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2202 N. FORBES BLVD
TUCSON, AZ
ZIP 85745
Phone: (520) 872-7790
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CARONDELET MEDICAL GROUP, INC is a family medicine in Tucson, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CARONDELET MEDICAL GROUP, INC NPI is 1659326585. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2202 N. FORBES BLVD
TUCSON, AZ
ZIP 85745-412
Phone: (520) 872-7790
Fax: (520) 872-7929

The provider's authorized official is Christen A Castellano .
The authorized official title is Executive Vice President, Chief Str and has the following contact phone number (520) 872-7638.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 6/27/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2213ES0131XPodiatristFoot SurgeryNo
3204D00000XNeuromusculoskeletal Medicine & OMMNo
4208000000XPediatricsNo
5363LA2200XNurse PractitionerAdult HealthNo
6363LF0000XNurse PractitionerFamilyNo
7363AM0700XPhysician AssistantMedicalNo
8207VG0400XObstetrics & GynecologyGynecologyNo
9174400000XSpecialistARIZONANo
10207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1653298MEDICAIDARIZONA
2Z28667MEDICARE PINARIZONA

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

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.