Organization Active NPI

Dopc of Arizona PLLC

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1073335287
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOPC OF ARIZONA PLLC
Practice address
4955 N Sabino Canyon Rd Ste 103
Tucson, AZ 85750-6491
Phone
(520) 375-9811
NPI assigned
Oct 29, 2024
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Patrick Noonan, D.O.NPI 1346561040
Title
Physician/Owner
Phone
(520) 375-9811

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4955 N Sabino Canyon Rd Ste 103
Tucson, AZ 85750-6491

Mailing address

4955 N Sabino Canyon Rd Ste 103
Tucson, AZ 85750-6491
Phone (520) 375-9811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250212002864 AZ Part B Supplier - Clinic/Group Practice 0345770889 Receives reassigned benefits from 2 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

4955 N Sabino Canyon Rd
Ste 2
Tucson, AZ 85750

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1073335287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 N SABINO CANYON RD STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857506491",
            "telephone_number": "520-375-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 N SABINO CANYON RD STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857506491",
            "telephone_number": "520-375-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOPC OF ARIZONA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "520-375-9811",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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, 2025; 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.