NPIMap

Organization Active NPI

Diane T Servoss MD PLLC

  • Anesthesiology Physician
  • Tucson, AZ
National Provider Identifier
1235844432
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DIANE T SERVOSS MD PLLC
Doing business as
Diane T Servoss MD PLLC
Practice address
7010 N Javelina Dr
Tucson, AZ 85718-1850
Phone
(520) 780-1055
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Dr. Diane T Servoss, MDNPI 1982691721
Title
Anesthesiologist
Phone
(520) 780-1055

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
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

7010 N Javelina Dr
Tucson, AZ 85718-1850

Mailing address

PO Box 9017
Naples, FL 34101-9017
Phone (520) 780-1055

Other identifiers 1

IdentifierTypeStateIssuer
104822MedicaidAZ

Other names 1

  • Diane T Servoss MD PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1235844432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9017",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341019017",
            "telephone_number": "520-780-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 N JAVELINA DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181850",
            "telephone_number": "520-780-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE T SERVOSS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A",
        "authorized_official_last_name": "SERVOSS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "520-780-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104822",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diane T Servoss MD PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 2023; 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.