NPIMap

Organization Active NPI

University of Arizona

  • Audiologist
  • Tucson, AZ
National Provider Identifier
1053509679
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
UNIVERSITY OF ARIZONA
Practice address
1131 E. 2ND Street
Tucson, AZ 85721
Phone
(520) 626-0620
Fax
(520) 626-5215
NPI assigned
Oct 9, 2007
Organization subpart
Yes
Parent organization
UNIVERSITY OF ARIZONAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Dr. Pelagie Beeson, PH.D.NPI 1598043952
Title
Department Head
Phone
(520) 621-9879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AZ Primary

Addresses

Primary practice location

1131 E. 2ND Street
Tucson, AZ 85721

Mailing address

1131 E. 2ND Street
Tucson, AZ 85721-0071
Phone (520) 621-7070

Other names 1

  • University of Arizona Speech & Hearing Clinics Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111012000218 AZ Part B Supplier - Clinic/Group Practice 8123290392 Receives reassigned benefits from 16 practitioners
Practice locations: Tucson, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
University of Arizona Rise19 organizations share this tax ID, including this one
Part of
University of Arizona Rise

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

1303 E University Blvd
#3
Tucson, AZ 85719

1131 E 2nd St
Tucson, AZ 85721
Phone (520) 621-7070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27327/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1053509679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E. 2ND STREET",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210071",
            "telephone_number": "520-621-7070",
            "fax_number": "520-621-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 E. 2ND STREET",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85721",
            "telephone_number": "520-626-0620",
            "fax_number": "520-626-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ARIZONA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF ARIZONA",
        "enumeration_date": "2007-10-09",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "BEESON",
        "authorized_official_first_name": "PELAGIE",
        "authorized_official_title_or_position": "DEPARTMENT HEAD",
        "authorized_official_telephone_number": "520-621-9879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Arizona Speech & Hearing Clinics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.