NPIMap

Organization Active NPI

Arizona Gastroenterology LTD

  • Gastroenterology Physician
  • Tucson, AZ
National Provider Identifier
1043297690
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ARIZONA GASTROENTEROLOGY LTD
Practice address
7566 N la Cholla Blvd
Ste a
Tucson, AZ 85741-2307
Phone
(520) 742-4139
Fax
(520) 742-9618
NPI assigned
Dec 26, 2005
Last updated
Jan 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Dr. Frederick Klein, M.D.NPI 1962487876
Title
President
Phone
(520) 742-4139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X AZ Primary

Addresses

Primary practice location

7566 N la Cholla Blvd
Ste a
Tucson, AZ 85741-2307

Mailing address

7566 N la Cholla Blvd
Ste a
Tucson, AZ 85741-2307
Phone (520) 742-4139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624001529 AZ Part B Supplier - Clinic/Group Practice 6507842234 Receives reassigned benefits from 11 practitioners
Practice locations: Green Valley, AZ; Tucson, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2109065Arizona Gastroenterology, LTD7566 N la Cholla Blvd, Ste a, Tucson, AZ 85741Certificate of waiverFeb 17, 2028

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

75 W Calle de las Tiendas
Green Valley, AZ 85614

75 W Calle de las Tiendas
Ste 109B
Green Valley, AZ 85614
Phone (520) 282-4081

1701 W Saint Marys Rd
Ste 125
Tucson, AZ 85745
Phone (520) 388-9772

2424 N Wyatt Dr
#2
Tucson, AZ 85712

7566 N La Cholla Blvd
#A
Tucson, AZ 85741

7566 N La Cholla Blvd
Ste A
Tucson, AZ 85741
Phone (520) 547-5845

7566 N La Cholla Blvd
Ste B
Tucson, AZ 85741
Phone (520) 547-5845

7622 N La Cholla Blvd
Tucson, AZ 85741

7624 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 303-4209

8275 N Silverbell Rd
Ste 117
Tucson, AZ 85743

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1043297690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7566 N LA CHOLLA BLVD",
            "address_2": "STE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412307",
            "telephone_number": "520-742-4139",
            "fax_number": "520-742-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7566 N LA CHOLLA BLVD",
            "address_2": "STE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412307",
            "telephone_number": "520-742-4139",
            "fax_number": "520-742-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA GASTROENTEROLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-26",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-742-4139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.