Active NPI
Elizabeth Victoria Tukan, MD
- Ophthalmology Physician
- Sun City, AZ
National Provider Identifier
1649373127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 16315
- Practice address
- 13640 N 99TH Ave Ste 500
Sun City, AZ 85351-2867 - Phone
- (480) 490-1082
- Fax
- (480) 948-3803
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 16315 | AZ | Primary |
Addresses
Primary practice location
13640 N 99TH Ave Ste 500
Sun City, AZ 85351-2867
Mailing address
8390 E Via de Ventura
F-110 #193
Scottsdale, AZ 85258-3188
Phone (480) 490-1082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0331000 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16315 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1649373127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 E VIA DE VENTURA",
"address_2": "F-110 #193",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852583188",
"telephone_number": "480-490-1082",
"fax_number": "480-948-3803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13640 N 99TH AVE STE 500",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853512867",
"telephone_number": "480-490-1082",
"fax_number": "480-948-3803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUKAN",
"first_name": "ELIZABETH",
"middle_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "16315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0331000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.