NPIMap

Organization Active NPI

Pathways Medical Partners

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1144762238
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23543 Issued in AZ
Legal business name
PATHWAYS MEDICAL PARTNERS
Practice address
1700 E River Rd
#65177
Tucson, AZ 85728-5177
Phone
(520) 635-9103
Fax
(520) 336-9179
NPI assigned
Nov 7, 2016
Last updated
Jan 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Ivan A Borbon, DONPI 1487036679
Title
Owner
Phone
(520) 635-9103

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
Family Medicine Physician 207Q00000X 23543 AZ Primary

Addresses

Primary practice location

1700 E River Rd
#65177
Tucson, AZ 85728-5177

Mailing address

PO Box 65177
Tucson, AZ 85728-5177
Phone (520) 635-9103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161212001599 AZ Part B Supplier - Clinic/Group Practice 0749560647 Receives reassigned benefits from 34 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory
Tax ID family
B Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1700 E River Rd
Unit 65177
Tucson, AZ 85728
Phone (520) 635-9103

3978 N Campbell Ave
Tucson, AZ 85719
Phone (520) 325-3978

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1144762238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65177",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857285177",
            "telephone_number": "520-635-9103",
            "fax_number": "520-336-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E RIVER RD",
            "address_2": "#65177",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857285177",
            "telephone_number": "520-635-9103",
            "fax_number": "520-336-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS MEDICAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "BORBON",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-635-9103",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "23543",
            "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 10, 2022; 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.