Active NPI
Northwestern Neurology
- Clinic/Center
- Tucson, AZ
National Provider Identifier
1376698365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 24067
- Legal business name
- NORTHWESTERN NEUROLOGY
- Practice address
- 13101 N Oracle Rd
Suite 109
Tucson, AZ 85739-9554 - Phone
- (520) 825-4711
- Fax
- (520) 825-4712
- NPI assigned
- Jan 23, 2007
- 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
- Dr. John W Pierpont, MD
- Title
- President
- Phone
- (520) 825-4711
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 24067 | AZ | Primary |
Addresses
Primary practice location
13101 N Oracle Rd
Suite 109
Tucson, AZ 85739-9554
Mailing address
1951 N Wilmot Rd
Suite 2
Tucson, AZ 85712-8000
Phone (520) 722-3777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z67518 | Other | AZ | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Tucson, AZ
- NPI 1285689729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396396800000",
"number": "1376698365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 N WILMOT RD",
"address_2": "SUITE 2",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857128000",
"telephone_number": "520-722-3777",
"fax_number": "520-296-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13101 N ORACLE RD",
"address_2": "SUITE 109",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857399554",
"telephone_number": "520-825-4711",
"fax_number": "520-825-4712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWESTERN NEUROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2014-04-02",
"status": "A",
"authorized_official_last_name": "PIERPONT",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "520-825-4711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "AZ",
"license": "24067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z67518",
"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 Apr 2, 2014; 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.