Pima County Physician Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PIMA COUNTY PHYSICIAN GROUP

Practice address

5155 E Farness Dr Ste 111B
Tucson, AZ 85712-2158

Phone

(480) 474-4156

Fax

(602) 635-3683

NPI assigned

May 13, 2020

Last updated

May 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremiah Faber

Title

Ceo

Phone

(480) 258-3635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1457973406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 964",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852990964",
            "telephone_number": "480-366-4489",
            "fax_number": "602-635-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 E FARNESS DR STE 111B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122158",
            "telephone_number": "480-474-4156",
            "fax_number": "602-635-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMA COUNTY PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "FABER",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-258-3635"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pima County Health Dept (Tuberculosis Clinic)
• Pima County Health Dept (Pima County WIC South Office)
• Pima County Health Dept
• Pima County Health Dept (North Clinic)
• Pima County Health Dept (Theresa Lee Clinic)
• Pima Dermatology Office Based Surgery
• Pima Dermatology PC
• Pima Eye Institute PC
• Pima Foot and Ankle Surgery
• Pima Health System

• General Practice Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.