Active NPI
David N. Flieger, MD, PC
- Dermatology Physician
- Tucson, AZ
National Provider Identifier
1578617262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD7439
- Legal business name
- DAVID N. FLIEGER, MD, PC
- Practice address
- 6542 E Carondelet Dr
Tucson, AZ 85710-2117 - Phone
- (520) 296-6204
- Fax
- (520) 296-3463
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David N Flieger, MD
- Title
- President
- Phone
- (520) 296-6204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD7439 | AZ | Primary |
Addresses
Primary practice location
6542 E Carondelet Dr
Tucson, AZ 85710-2117
Mailing address
6542 E Carondelet Dr
Tucson, AZ 85710-2117
Phone (520) 296-6204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0399320 | Other | AZ | BCBSAZ |
| 221169 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1578617262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6542 E CARONDELET DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857102117",
"telephone_number": "520-296-6204",
"fax_number": "520-296-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6542 E CARONDELET DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857102117",
"telephone_number": "520-296-6204",
"fax_number": "520-296-3463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID N. FLIEGER, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "FLIEGER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "520-296-6204",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "AZ",
"license": "MD7439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAZ",
"identifier": "AZ0399320",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "221169",
"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 Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.