Pediatric Pulmonary Associates,PC

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

Legal business name

PEDIATRIC PULMONARY ASSOCIATES,PC

Practice address

5155 E Farness Dr
Ste. 111a
Tucson, AZ 85712-2158

Phone

(520) 327-1787

Fax

(520) 321-9613

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Diane Neddenreip, M.D.

Title

Pediatric Pulmonologist

Phone

(520) 327-1787

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1609966399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 E FARNESS DR",
            "address_2": "STE. 111A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122158",
            "telephone_number": "520-327-1787",
            "fax_number": "520-321-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 E FARNESS DR",
            "address_2": "STE. 111A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122158",
            "telephone_number": "520-327-1787",
            "fax_number": "520-321-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PULMONARY ASSOCIATES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "NEDDENREIP",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PEDIATRIC PULMONOLOGIST",
        "authorized_official_telephone_number": "520-327-1787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337810",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Pulmonology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatric Pulmonology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.