Individual provider Active NPI

Linda Lundergan, M.D.

  • General Practice Physician
  • Tucson, AZ
National Provider Identifier
1669520730
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12214 Issued in AZ
Practice address
Campus Health University of Arizona
1224 E. Lowell
Tucson, AZ 85721
Phone
(520) 621-4446
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12214 AZ Primary
Public Health & General Preventive Medicine Physician 2083P0901X 12214 AZ

Addresses

Primary practice location

Campus Health University of Arizona
1224 E. Lowell
Tucson, AZ 85721

Mailing address

Campus Health University of Arizona
1224 E. Lowell
Tucson, AZ 85721-0095
Phone (520) 621-4446

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12214AZMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1669520730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAMPUS HEALTH UNIVERSITY OF ARIZONA",
            "address_2": "1224 E. LOWELL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210095",
            "telephone_number": "520-621-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAMPUS HEALTH UNIVERSITY OF ARIZONA",
            "address_2": "1224 E. LOWELL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85721",
            "telephone_number": "520-621-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDERGAN",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "12214",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "AZ",
            "license": "12214",
            "primary": false
        }
    ],
    "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 Jul 25, 2018; 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.