NPIMap

Organization Active NPI

Mountainview Dermatology, LTD

  • Dermatopathology Physician
  • Tucson, AZ
National Provider Identifier
1265518161
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
2881 Issued in AZ
Legal business name
MOUNTAINVIEW DERMATOLOGY, LTD
Practice address
2375 N Wyatt Dr
Suite 109
Tucson, AZ 85712-2152
Phone
(520) 881-8161
Fax
(520) 881-8163
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Dr. Marc Irwin Epstein, D.O.NPI 1902929318
Title
President/Dermatologist
Phone
(520) 881-8161

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
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X 2881 AZ Primary

Addresses

Primary practice location

2375 N Wyatt Dr
Suite 109
Tucson, AZ 85712-2152

Mailing address

2375 N Wyatt Dr
Suite 109
Tucson, AZ 85712-2152
Phone (520) 881-8161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000708 AZ Part B Supplier - Clinic/Group Practice 3476634916 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1265518161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 N WYATT DR",
            "address_2": "SUITE 109",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122152",
            "telephone_number": "520-881-8161",
            "fax_number": "520-881-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 N WYATT DR",
            "address_2": "SUITE 109",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122152",
            "telephone_number": "520-881-8161",
            "fax_number": "520-881-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINVIEW DERMATOLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "PRESIDENT/DERMATOLOGIST",
        "authorized_official_telephone_number": "520-881-8161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "AZ",
            "license": "2881",
            "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 Dec 17, 2012; 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.