Active NPI
TLC Pain & Palliative Medicine Practice, Inc
- Pain Medicine Physician
- Tucson, AZ
National Provider Identifier
1316995376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- PENDING
- Legal business name
- TLC PAIN & PALLIATIVE MEDICINE PRACTICE, INC
- Practice address
- 1775 E Skyline Dr
Ste 101
Tucson, AZ 85718-1162 - Phone
- (520) 615-6200
- Fax
- (520) 615-6255
- NPI assigned
- May 4, 2006
- Last updated
- Aug 22, 2020
- 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
- Scott M Bolhack, MD
- Title
- President
- Phone
- (520) 615-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | PENDING | AZ | Primary |
Addresses
Primary practice location
1775 E Skyline Dr
Ste 101
Tucson, AZ 85718-1162
Mailing address
1775 E Skyline Dr
Ste 101
Tucson, AZ 85718-1162
Phone (520) 615-6200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316995376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 E SKYLINE DR",
"address_2": "STE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857181162",
"telephone_number": "520-615-6200",
"fax_number": "520-615-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 E SKYLINE DR",
"address_2": "STE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857181162",
"telephone_number": "520-615-6200",
"fax_number": "520-615-6255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC PAIN & PALLIATIVE MEDICINE PRACTICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOLHACK",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "520-615-6200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "AZ",
"license": "PENDING",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.