St Bernadette Integrative Medical Care, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19248 Issued in AZ

Legal business name

ST BERNADETTE INTEGRATIVE MEDICAL CARE, P.C.

Practice address

1140 N Rosemont Blvd
Tucson, AZ 85712-4813

Phone

(520) 298-3800

Fax

(520) 296-0979

NPI assigned

Feb 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cynthia E Miley, MD

Title

President

Phone

(520) 870-1292

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1013280429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N ROSEMONT BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124813",
            "telephone_number": "520-298-3800",
            "fax_number": "520-296-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N ROSEMONT BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124813",
            "telephone_number": "520-298-3800",
            "fax_number": "520-296-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BERNADETTE INTEGRATIVE MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "MILEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-870-1292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "19248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharanyah Srinivasan, MD
• Anil K Srivastava, MD
• Manjul Srivastava, MD
• Rishab Srivastava, DO, MPH
• Tarang Srivastava, MD
• Paige Cheyenne St Cin
• St Elizabeths Health Center Inc
• St Elizabeths Health Center Inc
• St Luke'S in the Desert Inc
• Kameha St Peter

• General Practice Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.