Organization Active NPI

Ocotillo Pediatrics PLLC

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1215115597
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33568 Issued in AZ
Legal business name
OCOTILLO PEDIATRICS PLLC
Practice address
1701 W Saint Marys Rd
Ste. 111
Tucson, AZ 85745-2621
Phone
(520) 617-0971
Fax
(520) 882-8973
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Michelle K Foth, MD
Title
President
Phone
(520) 971-7212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 33568 AZ Primary

Addresses

Primary practice location

1701 W Saint Marys Rd
Ste. 111
Tucson, AZ 85745-2621

Mailing address

PO Box 43160
Tucson, AZ 85733-3160
Phone (520) 722-3777

National Provider Directory

National Provider Directory

Locations

1701 W Saint Marys Rd
Ste 111
Tucson, AZ 85745
Phone (520) 617-0971

5155 E Farness Dr
Ste 111C
Tucson, AZ 85712
Phone (520) 326-3434

5155 E Farness Dr
Ste 11C
Tucson, AZ 85712
Phone (520) 326-3434

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1215115597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333160",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W SAINT MARYS RD",
            "address_2": "STE. 111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452621",
            "telephone_number": "520-617-0971",
            "fax_number": "520-882-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOTILLO PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "FOTH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-971-7212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "33568",
            "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 Feb 8, 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.

Verify at the official NPI Registry.