Active NPI
Richard M Gladding, DO
- Cardiovascular Disease Physician
- Sierra Vista, AZ
National Provider Identifier
1205867413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 1894
- Practice address
- 2530 E Wilcox Dr
Sierra Vista, AZ 85635-2843 - Phone
- (520) 417-0586
- Fax
- (520) 417-4207
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 1894 | AZ | Primary |
Addresses
Primary practice location
2530 E Wilcox Dr
Sierra Vista, AZ 85635-2843
Mailing address
PO Box 30370
Tucson, AZ 85751-0370
Phone (520) 722-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227539 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1894 | AZ | MD | Dental Hygienist |
| 15009 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pima Heart Physicians, PC | Cardiovascular Disease | Past | Accepting new patients |
| Pima Heart Physicians, PC | Cardiovascular Disease | Past | Accepting new patients |
| Tucson Medical Center | Past | Accepting new patients | |
| Pima Heart Physicians, PC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Pima Heart & Vascular
- Cardiovascular Disease Physician
- Sierra Vista, AZ
- NPI 1003081803
-
dba Pima Heart & Vascular
- Cardiovascular Disease Physician
- Tucson, AZ
- NPI 1730137480
-
dba Pima Heart & Vascular
- Cardiac Rehabilitation Registered Nurse
- Sahuarita, AZ
- NPI 1962259812
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1205867413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30370",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857510370",
"telephone_number": "520-722-0777",
"fax_number": "520-290-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 E WILCOX DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352843",
"telephone_number": "520-417-0586",
"fax_number": "520-417-4207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADDING",
"first_name": "RICHARD",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "1894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227539",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.