Active NPI
Pulmonary Associates of Southern Arizona, PC
- Specialist
- Tucson, AZ
National Provider Identifier
1285676643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 207RP1001X
- Legal business name
- PULMONARY ASSOCIATES OF SOUTHERN ARIZONA, PC
- Practice address
- 1951 N Wilmot Rd
BLDG 4
Tucson, AZ 85712-8000 - Phone
- (520) 318-1114
- Fax
- (520) 318-4693
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Rotkis, M.D.
- Title
- President
- Phone
- (520) 318-1114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 207RP1001X | AZ | Primary |
Addresses
Primary practice location
1951 N Wilmot Rd
BLDG 4
Tucson, AZ 85712-8000
Mailing address
1951 N Wilmot Rd
BLDG 4
Tucson, AZ 85712-8000
Phone (520) 318-1114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 508236 | Medicaid | AZ | |
| 235707 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412294400000",
"number": "1285676643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 N WILMOT RD",
"address_2": "BLDG 4",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857128000",
"telephone_number": "520-318-1114",
"fax_number": "520-318-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 N WILMOT RD",
"address_2": "BLDG 4",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857128000",
"telephone_number": "520-318-1114",
"fax_number": "520-318-4693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY ASSOCIATES OF SOUTHERN ARIZONA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2014-10-03",
"status": "A",
"authorized_official_last_name": "ROTKIS",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "520-318-1114",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AZ",
"license": "207RP1001X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "508236",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235707",
"state": "AZ"
}
],
"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 Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.