NPIMap

Organization Active NPI

Family Practice Outreach, Inc

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1639344591
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY PRACTICE OUTREACH, INC
Practice address
7739 E Broadway Blvd # 360
Tucson, AZ 85710-3941
Phone
(520) 631-9585
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Mimi Cosentino
Title
Direct of Ops
Phone
(520) 631-9585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7739 E Broadway Blvd # 360
Tucson, AZ 85710-3941

Mailing address

7739 E Broadway Blvd # 360
Tucson, AZ 85710-3941

National Provider Directory

National Provider Directory

Locations

5575 E River Rd
Ste 121
Tucson, AZ 85750
Phone (520) 529-8389

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1639344591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7739 E BROADWAY BLVD # 360",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7739 E BROADWAY BLVD # 360",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103941",
            "telephone_number": "520-631-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE OUTREACH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "COSENTINO",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "DIRECT OF OPS",
        "authorized_official_telephone_number": "520-631-9585"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 7, 2008; 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.