Active NPI
Laurie Rose Dodd
- Nuclear Cardiology Physician
- Tucson, AZ
National Provider Identifier
1386609345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Cardiology Physician
- License
- 23647
- Practice address
- 2355 N Ferguson Ave
Tucson, AZ 85712 - Phone
- (520) 326-4811
- Fax
- (520) 323-8444
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nuclear Cardiology Physician | 207UN0901X | 23647 | AZ | Primary |
Addresses
Primary practice location
2355 N Ferguson Ave
Tucson, AZ 85712
Mailing address
2355 N Ferguson Ave
Tucson, AZ 85712
Phone (520) 326-4811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334087001 | Medicaid | AZ |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23647 | AZ | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T Bryson Struse | Nuclear Cardiology | Past | Accepting new patients |
| Tucson Heart Group, PLC | Past | Accepting new patients | |
| Dr. Gann'S Diet of Hope LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1780943696
-
- Nuclear Cardiology Physician
- Tucson, AZ
- NPI 1720057664
-
- Cardiovascular Disease Physician
- Tucson, AZ
- NPI 1265445001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1386609345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 N FERGUSON AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85712",
"telephone_number": "520-326-4811",
"fax_number": "520-323-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 N FERGUSON AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85712",
"telephone_number": "520-326-4811",
"fax_number": "520-323-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODD",
"first_name": "LAURIE",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "AZ",
"license": "23647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "334087001",
"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, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.