Active NPI
West Ajo Medical Center LTD.
- Family Medicine Physician
- Tucson, AZ
National Provider Identifier
1124326558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1951
- Legal business name
- WEST AJO MEDICAL CENTER LTD.
- Practice address
- 101 W Ajo Way
Tucson, AZ 85713-6036 - Phone
- (520) 573-0993
- Fax
- (520) 573-0440
- NPI assigned
- Mar 9, 2011
- 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. Albert Robert Fritz III, D.O.
- Title
- Owner/Sole Proprietor
- Phone
- (520) 573-0993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1951 | AZ | Primary |
Addresses
Primary practice location
101 W Ajo Way
Tucson, AZ 85713-6036
Mailing address
101 W Ajo Way
Tucson, AZ 85713-6036
Phone (520) 573-0993
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10458 | Other | AZ | PACIFICARE |
| 1992894380 | Other | AZ | UNITED HEALTH CARE |
| AZ0060530 | Other | AZ | BLUE CROSS/BLUE SHIELD |
| 0004660256 | Other | AZ | AETNA |
National Provider Directory
National Provider DirectoryLocations
101 W Ajo Way
Tucson, AZ 85713
Phone (520) 573-0993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299628800000",
"number": "1124326558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W AJO WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136036",
"telephone_number": "520-573-0993",
"fax_number": "520-573-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W AJO WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136036",
"telephone_number": "520-573-0993",
"fax_number": "520-573-0440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST AJO MEDICAL CENTER LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-09",
"last_updated": "2011-03-09",
"status": "A",
"authorized_official_last_name": "FRITZ",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
"authorized_official_telephone_number": "520-573-0993",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "1951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "10458",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1992894380",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "AZ0060530",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004660256",
"state": "AZ"
}
],
"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 Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.