Organization Active NPI

Mens Health Tucson PLLC

  • Primary Care Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1053650499
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
37616 Issued in AZ
Legal business name
MENS HEALTH TUCSON PLLC
Practice address
8776 E Shea Blvd
Ste B3A-129
Scottsdale, AZ 85260-6629
Phone
(602) 791-9112
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Dr. Charles B Evans II, MD
Title
Medical Director
Phone
(602) 791-9112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 37616 AZ Primary

Addresses

Primary practice location

8776 E Shea Blvd
Ste B3A-129
Scottsdale, AZ 85260-6629

Mailing address

8776 E Shea Blvd
Ste B3A-129
Scottsdale, AZ 85260-6629

National Provider Directory

National Provider Directory

Locations

3395 N Campbell Ave
Ste 101
Tucson, AZ 85719

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1053650499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8776 E SHEA BLVD",
            "address_2": "STE B3A-129",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8776 E SHEA BLVD",
            "address_2": "STE B3A-129",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606629",
            "telephone_number": "602-791-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENS HEALTH TUCSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-791-9112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "37616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.