Organization Active NPI

Carol Dehasse MD PC

  • Obstetrics & Gynecology Physician
  • Tucson, AZ
National Provider Identifier
1427078013
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
29765 Issued in AZ
Legal business name
CAROL DEHASSE MD PC
Practice address
1871 W Orange Grove Road
Suite 101
Tucson, AZ 85704-1116
Phone
(520) 498-5000
Fax
(520) 498-5011
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol M Dehasse, MDNPI 1205811205
Title
Owner Provider
Phone
(520) 498-5000

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 29765 AZ Primary

Addresses

Primary practice location

1871 W Orange Grove Road
Suite 101
Tucson, AZ 85704-1116

Mailing address

1871 W Orange Grove Road
Suite 101
Tucson, AZ 85704-1116
Phone (520) 498-5000

Other identifiers 1

IdentifierTypeStateIssuer
639263MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1871 W Orange Grove Rd
Ste 101
Tucson, AZ 85704
Phone (520) 219-8342

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427078013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 W ORANGE GROVE ROAD",
            "address_2": "SUITE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041116",
            "telephone_number": "520-498-5000",
            "fax_number": "520-498-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 W ORANGE GROVE ROAD",
            "address_2": "SUITE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041116",
            "telephone_number": "520-498-5000",
            "fax_number": "520-498-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL DEHASSE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEHASSE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "520-498-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "29765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639263",
            "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 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.

Verify at the official NPI Registry.