Active NPI
New Pueblo Medicine PC
- Internal Medicine Physician
- Tucson, AZ
National Provider Identifier
1295811495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NEW PUEBLO MEDICINE PC
- Practice address
- 6365 E Tanque Verde Rd 120
New Pueblo Medicine PC
Tucson, AZ 85715-3848 - Phone
- (520) 290-0300
- Fax
- (520) 298-9230
- NPI assigned
- Oct 31, 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
- Jeffrey I Selwyn, MD
- Title
- President
- Phone
- (520) 290-0300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | AZ | Primary |
Addresses
Primary practice location
6365 E Tanque Verde Rd 120
New Pueblo Medicine PC
Tucson, AZ 85715-3848
Mailing address
6365 E Tanque Verde Rd 120
New Pueblo Medicine PC
Tucson, AZ 85715-3848
Phone (520) 290-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN8163 | Other | AZ | RR MEDICARE |
Other names 1
- Internal Medicine Associates
National Provider Directory
National Provider DirectoryLocations
6365 E Tanque Verde Rd
Ste 12
Tucson, AZ 85715
Phone (520) 290-0300
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": "1194998400000",
"number": "1295811495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6365 E TANQUE VERDE RD 120",
"address_2": "NEW PUEBLO MEDICINE PC",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153848",
"telephone_number": "520-290-0300",
"fax_number": "520-298-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6365 E TANQUE VERDE RD 120",
"address_2": "NEW PUEBLO MEDICINE PC",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153848",
"telephone_number": "520-290-0300",
"fax_number": "520-298-9230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW PUEBLO MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2007-11-14",
"status": "A",
"authorized_official_last_name": "SELWYN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "520-290-0300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CN8163",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Internal Medicine Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
- New Insights Psychotherapy Center, Inc.
- New Leaf Integrative Wellness Center LLC
- New Life Wellness Tucson LLC
- New Oasis Group Limited Liability Company
- New Perspectives LLC
- New Seasons Behavioral Health LLC
- Newborn Intensive Care Group
- Samantha Suzanne Newcom, FNP-C
- Newcultureaz,LLC
- Sally Newhall, MHA/INF, RRT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.