Tatum Ridge Internal Medicine PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TATUM RIDGE INTERNAL MEDICINE PLC

Practice address

18404 N Tatum Blvd
Ste 205
Phoenix, AZ 85032-1509

Phone

(602) 971-5500

Fax

(602) 944-0504

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Lawrence Elliot, MD

Title

Physician Partner

Phone

(602) 971-5500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Dannah Farah, MD

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1275094401
  Medicare reassignment Care Compare group NPD
• Brian K Jorgensen, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1730197658
  Medicare reassignment Care Compare group NPD
• Jennifer H Kim, M.D.

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1902118086
  Medicare reassignment Care Compare group NPD
• Lawrence P Gassner, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1558379461
  Medicare reassignment Care Compare group
• CHI Quynh Duong, DO

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1285642108
  Medicare reassignment NPD
• David L Elliott, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1194733006
  Medicare reassignment NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1083622997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18404 N TATUM BLVD",
            "address_2": "STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321509",
            "telephone_number": "602-971-5500",
            "fax_number": "602-944-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18404 N TATUM BLVD",
            "address_2": "STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321509",
            "telephone_number": "602-971-5500",
            "fax_number": "602-944-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATUM RIDGE INTERNAL MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "ELLIOT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "602-971-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatum Internal Medicine & Associates PLLC
• Tatum Pain Ventures LLC
• Tatum Point Chiropractic, Inc
• Tatum Point Dentistry LLC
• Tatum Professional Group LLC
• Tatum Smiles, LLP (Tatum Smiles)
• Tatum Technical LLC
• Cherlyn Tatum
• Doris Diane Tatum
• Lashelle Tatum

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.