Organization Active NPI

Tucson Family and Geriatric Medicine LLC

  • Primary Care Clinic/Center
  • Tucson, AZ
National Provider Identifier
1639682073
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
51203 Issued in AZ
Legal business name
TUCSON FAMILY AND GERIATRIC MEDICINE LLC
Practice address
6867 N Oracle Rd Ste 157
Tucson, AZ 85704
Phone
(520) 900-7437
NPI assigned
Nov 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Karen Lee, MDNPI 1477592467
Title
Owner
Phone
(612) 817-6690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 51203 AZ Primary

Addresses

Primary practice location

6867 N Oracle Rd Ste 157
Tucson, AZ 85704

Mailing address

6867 N Oracle Rd Ste 157
Tucson, AZ 85704-4283
Phone (520) 395-2220

Other practice location 1

1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676
Phone (520) 395-2200

Other identifiers 1

IdentifierTypeStateIssuer
11097770OtherAZCAQH

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.tucsonfamilygeriatric.com
CONNECT URL www.phoenixfamilygeriatric.com Tucson Family and Geriatric Medicine LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180131002578 AZ Part B Supplier - Clinic/Group Practice 6305106881 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ; Tucson, AZ

National Provider Directory

National Provider Directory

Locations

8151 E Indian Bend Rd
Ste 109
Scottsdale, AZ 85250
Phone (480) 863-3507

7400 N Oracle Rd
Tucson, AZ 85704
Phone (520) 885-9567

7400 N Oracle Rd
Ste 150453
Tucson, AZ 85704
Phone (480) 863-3507

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1639682073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6867 N ORACLE RD STE 157",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044283",
            "telephone_number": "520-395-2220",
            "fax_number": "520-395-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6867 N ORACLE RD STE 157",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-900-7437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 S Stapley Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852046676",
            "country_code": "US",
            "telephone_number": "520-395-2200",
            "fax_number": "520-844-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TUCSON FAMILY AND GERIATRIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-817-6690",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "51203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11097770",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.tucsonfamilygeriatric.com",
            "affiliation": "N",
            "address_1": "6867 N Oracle Rd Ste 157",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.phoenixfamilygeriatric.com",
            "affiliation": "Y",
            "affiliationName": "Tucson Family and Geriatric Medicine LLC",
            "address_1": "1910 S Stapley Dr Ste 120",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852046676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 14, 2024; 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.