Arizona Hematology Oncology PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

11471 Issued in AZ

Legal business name

ARIZONA HEMATOLOGY ONCOLOGY PC

Practice address

6130 N Lacholla Blvd
117
Tucson, AZ 85741

Phone

(520) 297-8429

Fax

(520) 297-2913

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Suresh B Katakkar, MDNPI 1114923943

Title

Owner/President

Phone

(520) 297-8429

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 6

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

• Suresh B Katakkar, M.D.

  • Hematology & Oncology Physician
  • Tucson, AZ
  • NPI 1114923943

  AZ, Hematology & Oncology

  Medicare reassignment NPD Authorized official
• Mary K Abrahamson, DNP, NP-C, ACHPN

  • Adult Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1487626834
  NPD (past)
• Linda Sue Barroero, N.P.

  • Nurse Practitioner
  • Tucson, AZ
  • NPI 1306815188
  NPD (past)
• Laurie L Chen, M.D.

  • Hematology & Oncology Physician
  • Tucson, AZ
  • NPI 1215924840

  Hematology & Oncology

  NPD (past)
• Lois Eileen Lattimore, NP

  • Adult Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1932171386
  NPD (past)
• Mehrnoosh Zarkoob, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1649343815
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1679501282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36210",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857406210",
            "telephone_number": "520-297-8429",
            "fax_number": "520-297-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 N LACHOLLA BLVD",
            "address_2": "117",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85741",
            "telephone_number": "520-297-8429",
            "fax_number": "520-297-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA HEMATOLOGY ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "KATAKKAR",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "520-297-8429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "11471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215336",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Tucson, AZ
• Hematology & Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.