Active NPI
Ludwig Michael Deppisch, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Tucson, AZ
National Provider Identifier
1467604272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 21254
- Practice address
- 7542 N Mystic Canyon Dr
Tucson, AZ 85718-7800 - Phone
- (520) 575-9254
- NPI assigned
- Oct 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 21254 | AZ | Primary |
Addresses
Primary practice location
7542 N Mystic Canyon Dr
Tucson, AZ 85718-7800
Mailing address
7542 N Mystic Canyon Dr
Tucson, AZ 85718-7800
Phone (520) 575-9254
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21254 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223856000000",
"number": "1467604272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7542 N MYSTIC CANYON DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857187800",
"telephone_number": "520-575-9254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7542 N MYSTIC CANYON DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857187800",
"telephone_number": "520-575-9254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPPISCH",
"first_name": "LUDWIG",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-13",
"last_updated": "2008-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "21254",
"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 Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.