Active NPI
Jack Steven Tuber, DO
- Pulmonary Disease Physician
- Peoria, AZ
National Provider Identifier
1306923750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2373
- Practice address
- 6818 W Thunderbird Rd
Peoria, AZ 85381-5025 - Phone
- (623) 566-3550
- Fax
- (623) 566-3573
- NPI assigned
- Nov 1, 2006
- Last updated
- Feb 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 2373 | AZ | Primary |
Addresses
Primary practice location
6818 W Thunderbird Rd
Peoria, AZ 85381-5025
Mailing address
2525 W Beryl Ave
Phoenix, AZ 85021-1606
Phone (602) 424-7967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2373 | AZ | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550880000000",
"number": "1306923750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 W BERYL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850211606",
"telephone_number": "602-424-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6818 W THUNDERBIRD RD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853815025",
"telephone_number": "623-566-3550",
"fax_number": "623-566-3573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBER",
"first_name": "JACK",
"middle_name": "STEVEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2019-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AZ",
"license": "2373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.