NPIMap

Organization Active NPI

Nusrum Iqbal, MD PLLC

Doing business as Arizona Primary Care Center

  • Health Service Clinic/Center
  • Sierra Vista, AZ
National Provider Identifier
1679886246
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
32359 Issued in AZ
Legal business name
NUSRUM IQBAL, MD PLLC
Doing business as
Arizona Primary Care Center
Practice address
75 Colonia de Salud Ste 200C
Sierra Vista, AZ 85635-2486
Phone
(520) 335-2800
Fax
(520) 335-2804
NPI assigned
Jul 23, 2010
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. Nusrum Iqbal, MDNPI 1538191929
Title
Owner
Phone
(520) 335-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 32359 AZ Primary

Addresses

Primary practice location

75 Colonia de Salud Ste 200C
Sierra Vista, AZ 85635-2486

Mailing address

75 Colonia de Salud
Ste C200
Sierra Vista, AZ 85635-2487
Phone (520) 335-2800

Other identifiers 2

IdentifierTypeStateIssuer
Z 140498OtherAZMEDICARE PTAN
836033MedicaidAZ

Other names 1

  • Arizona Primary Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

75 Colonia de Salud
Ste 200C
Sierra Vista, AZ 85635
Phone (520) 226-4338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1679886246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 COLONIA DE SALUD",
            "address_2": "STE C200",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352487",
            "telephone_number": "520-335-2800",
            "fax_number": "520-335-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 COLONIA DE SALUD STE 200C",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352486",
            "telephone_number": "520-335-2800",
            "fax_number": "520-335-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUSRUM IQBAL, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "NUSRUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-335-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "32359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z 140498",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836033",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Primary Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.