Active NPI
Mark C Lathen, D.O.
- Anesthesiology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2785
- Practice address
- 3390 N Campbell Ave
Ste 110
Tucson, AZ 85719-2380 - Phone
- (520) 795-7650
- Fax
- (520) 325-1622
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2785 | AZ | Primary |
Addresses
Primary practice location
3390 N Campbell Ave
Ste 110
Tucson, AZ 85719-2380
Mailing address
3390 N Campbell Ave
Ste 110
Tucson, AZ 85719-2380
Phone (520) 795-7650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2785 | AZ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascend Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Partners & Management LLC | Anesthesiology | Current | Accepting new patients |
| Southern Arizona Anesthesia Services, PC | Anesthesiology | Current | Accepting new patients |
Locations
1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300
1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236
1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185
5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919
3935 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 260-0450
3390 N Campbell Ave
Ste 110
Tucson, AZ 85719
Phone (520) 784-2243
2121 N Craycroft Rd
Bldg 8
Tucson, AZ 85712
Phone (520) 230-7156
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
2220 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 877-5660
1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185
1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1912999343
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
Anesthesiology, AZ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1699769729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 N CAMPBELL AVE",
"address_2": "STE 110",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857192380",
"telephone_number": "520-795-7650",
"fax_number": "520-325-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 N CAMPBELL AVE",
"address_2": "STE 110",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857192380",
"telephone_number": "520-795-7650",
"fax_number": "520-325-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHEN",
"first_name": "MARK",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "2785",
"primary": true
}
],
"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 Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.