John Clement Biboa , D.O

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

R1583 Issued in AZ

Legal business name

JOHN CLEMENT BIBOA , D.O

Practice address

2800 E Ajo Way
Tucson, AZ 85713-6204

Phone

(520) 874-4502

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Harold Szerlip, M.D

Title

Program Director

Phone

(520) 874-4502

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• University of Arizona/UPHH Other name

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1609171164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136204",
            "telephone_number": "520-874-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136204",
            "telephone_number": "520-874-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CLEMENT BIBOA , D.O",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "SZERLIP",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "520-874-4502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "R1583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPHH NPI",
            "identifier": "1104887199-0749",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Arizona/UPHH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Timothy David Johanson, M.D.
• Meghan Johansson, RDN
• John Bentley MD PC
• John C Titone PHD PC
• John C. Medlen, M.D., P.C.
• John Gregory Corcoran
• John H McDougall OD Az PC
• John H McDougall OD Az PC
• John H McDougall OD Az PC
• John H McDougall OD Az PC

• General Acute Care Hospital in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Acute Care Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.