Tucson Central Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

23315 Issued in AZ

Legal business name

TUCSON CENTRAL PEDIATRICS

Practice address

630 N Alvernon Way
Suite 171
Tucson, AZ 85711-1843

Phone

(520) 325-8000

Fax

(520) 325-8616

NPI assigned

Nov 2, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Robert S. Hom, M.D.

Title

President

Phone

(520) 325-8000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gretchen Hull, M.D.

  • Pediatrics Physician
  • Tucson, AZ
  • NPI 1114925518
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497746127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N ALVERNON WAY",
            "address_2": "SUITE 171",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111843",
            "telephone_number": "520-325-8000",
            "fax_number": "520-325-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N ALVERNON WAY",
            "address_2": "SUITE 171",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111843",
            "telephone_number": "520-325-8000",
            "fax_number": "520-325-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON CENTRAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-325-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "23315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tucson Cardiovascular Associates
• Tucson Cardiovascular Imaging LLC
• Tucson Care at Home LLC
• Tucson Centered
• Tucson Centered
• Tucson Central Psychiatry, LLC
• Tucson Communication Therapies, LLC
• Tucson Concierge Medicine Professional Limited Liability Company
• Tucson Concussion Center LLC
• Tucson Counseling Associates, LLC

• Pediatrics Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatrics Physician in Arizona

• 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.