Mountain Osteopathic, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

5874 Issued in AZ

Legal business name

MOUNTAIN OSTEOPATHIC, PLLC

Practice address

8070 N Oracle Rd
Suite 100
Tucson, AZ 85704-6416

Phone

(520) 262-7554

NPI assigned

Apr 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Wendy L Miller, D.O.NPI 1477780393

Title

Member

Phone

(520) 262-7554

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Wendy Lynn Miller, DO

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
  • NPI 1477780393
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1428105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1558756783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 N ORACLE RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046416",
            "telephone_number": "520-262-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 N ORACLE RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046416",
            "telephone_number": "520-262-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN OSTEOPATHIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-04",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-262-7554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "5874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Lemmon Healthcare LLC
• Mount Lemmon Healthcare LLC
• Mount Lemmon Healthcare LLC
• Mountain Dew Behavioral Health PLC
• Mountain Medical Management, LLC
• Mountain Springs Community Services LLC
• Mountain View Gastroenterology, PC
• Mountain View Mental Health LLC
• Mountain Vista Senior Living, Inc.
• Mountainview Dermatology, LTD

• Medical Specialty Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.