Active NPI
Marion a. Douglass III, MD
- Community/Behavioral Health Agency
- Tucson, AZ
National Provider Identifier
1124189667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 32713
- Legal business name
- MARION A. DOUGLASS III, MD
- Practice address
- 620 N Craycroft Rd
Tucson, AZ 85711-1448 - Phone
- (520) 748-7108
- Fax
- (520) 748-1458
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marion Anderson Douglass III, MD
- Title
- Medical Director
- Phone
- (520) 570-1479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 32713 | AZ | Primary |
Addresses
Primary practice location
620 N Craycroft Rd
Tucson, AZ 85711-1448
Mailing address
620 N Craycroft Rd
Tucson, AZ 85711-1448
Phone (520) 748-7108
Other names 1
- RBHA NETWORK
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1124189667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N CRAYCROFT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111448",
"telephone_number": "520-748-7108",
"fax_number": "520-748-1458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N CRAYCROFT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111448",
"telephone_number": "520-748-7108",
"fax_number": "520-748-1458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARION A. DOUGLASS III, MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "DOUGLASS",
"authorized_official_first_name": "MARION",
"authorized_official_middle_name": "ANDERSON",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "520-570-1479",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "32713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RBHA NETWORK",
"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 Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.