Oro Valley Adult Medicine PA LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

41024 Issued in AZ

Legal business name

ORO VALLEY ADULT MEDICINE PA LLC

Practice address

555 E Vuelta Caminata del Rio
Oro Valley, AZ 85737

Phone

(520) 547-5688

Fax

(520) 547-4661

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Eun J Oh, MDNPI 1558391672

Title

Physician

Phone

(520) 310-6758

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Eun Joo Oh, MD

  • Internal Medicine Physician
  • Oro Valley, AZ
  • NPI 1558391672

  Geriatric Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• John D Dougherty III, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Oro Valley, AZ
  • NPI 1043252844
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1679012181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E VUELTA CAMINATA DEL RIO",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "85737",
            "telephone_number": "520-547-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E VUELTA CAMINATA DEL RIO",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "85737",
            "telephone_number": "520-547-5688",
            "fax_number": "520-547-4661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 E Pusch View Ln",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857379235",
            "country_code": "US",
            "telephone_number": "520-460-6122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORO VALLEY ADULT MEDICINE PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "EUN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "520-310-6758",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "41024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558391672",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043252844",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua J Oliver, M.D.
• Jennika Olson
• Kenneth Tadashi Olson, PHARMD
• Nicolle Oneill, CRNA
• Alexander Rafael Ordonez, DDS
• Oro Valley Audiology Inc
• Oro Valley Care LLC
• Oro Valley Critical Associates, PLLC
• Oro Valley Eyecare, PLLC
• Oro Valley Health and Wellness Chiropractic, PC

• Geriatric Medicine (Internal Medicine) Physician in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.