Mdvip365

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MDVIP365

Practice address

7620 N Hartman LN Ste 180
Tucson, AZ 85743-7485

Phone

(520) 689-6814

Fax

(866) 740-4777

NPI assigned

Mar 13, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Marsh II

Title

Practice Manager

Phone

(520) 689-6814

Specialties & licenses 1

Addresses

Other names 1

• Priority Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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

• Titus Tjalas, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1487930871
  Medicare reassignment
• Anna Manalo, MSN FNP-C

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1609205350
  NPD (past)

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1639638257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 N HARTMAN LN STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437485",
            "telephone_number": "520-689-6814",
            "fax_number": "866-740-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 N HARTMAN LN STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437485",
            "telephone_number": "520-689-6814",
            "fax_number": "866-740-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDVIP365",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "520-689-6814",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priority Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MD House Calls, PLLC
• MD NP Adult Medicine LLC
• MDR Physical Therapy Inc
• MDR Physical Therapy Inc.
• MDR Physical Therapy, Inc
• Kallie Meade, PT, DPT
• Shayse Meade, RN
• John Kyle Meades, CCC-SLP
• Erica Meadow, LAC
• Meadows Catalina LLC

• Family Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.