Organization Active NPI

Arizona Oncology Associates PC

  • Hematology & Oncology Physician
  • Tucson, AZ
National Provider Identifier
1578976379
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ARIZONA ONCOLOGY ASSOCIATES PC
Practice address
2625 N Craycroft Rd Ste 200B
Tucson, AZ 85712-2268
Phone
(520) 416-5744
Fax
(602) 476-5156
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Lee Andrew Pendleton, PHARMD
Title
Manager Pharmacy Operations
Phone
(520) 390-6189

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

2625 N Craycroft Rd Ste 200B
Tucson, AZ 85712-2268

Mailing address

2625 N Craycroft Rd Ste 221
Tucson, AZ 85712-2268
Phone (520) 390-6189

Other identifiers 2

IdentifierTypeStateIssuer
0359491OtherAZNCPDP
289515MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2625 N Craycroft Rd
Ste 200B
Tucson, AZ 85712
Phone (520) 390-6189

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1578976379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 N CRAYCROFT RD STE 221",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122268",
            "telephone_number": "520-390-6189",
            "fax_number": "520-519-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 N CRAYCROFT RD STE 200B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122268",
            "telephone_number": "520-416-5744",
            "fax_number": "602-476-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ONCOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "PENDLETON",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGER PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "520-390-6189",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0359491",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289515",
            "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 3, 2023; 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.