Active NPI
Paul R Lichtenstein, MD
- Dermatology Physician
- Tucson, AZ
National Provider Identifier
1699766154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 8814
- Practice address
- 5200 E Farness Dr
Ste 100
Tucson, AZ 85712-2140 - Phone
- (520) 326-6882
- Fax
- (520) 326-6886
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 8814 | AZ | Primary |
Addresses
Primary practice location
5200 E Farness Dr
Ste 100
Tucson, AZ 85712-2140
Mailing address
5200 E Farness Dr
Ste 100
Tucson, AZ 85712-2140
Phone (520) 326-6882
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1Z3294 | Other | AZ | HEALTHNET |
| AZ0056210 | Other | AZ | BCBS |
| 230996 | Other | STATE | |
| 21108814 | Other | AZ | STATE FUND |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8814 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul R. Lichtenstein, M.D., P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Tucson, AZ
- NPI 1750595062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1699766154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 E FARNESS DR",
"address_2": "STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122140",
"telephone_number": "520-326-6882",
"fax_number": "520-326-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 E FARNESS DR",
"address_2": "STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122140",
"telephone_number": "520-326-6882",
"fax_number": "520-326-6886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTENSTEIN",
"first_name": "PAUL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "8814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1Z3294",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0056210",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "230996",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE FUND",
"identifier": "21108814",
"state": "AZ"
}
],
"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 Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.