NPIMap

Organization Active NPI

Neurology-Child Neurology of Tucson, PC

  • Clinic/Center
  • Tucson, AZ
National Provider Identifier
1700931797
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6309 Issued in AZ
Legal business name
NEUROLOGY-CHILD NEUROLOGY OF TUCSON, PC
Practice address
5610 E Grant Rd
Tucson, AZ 85712-2239
Phone
(520) 745-2086
Fax
(520) 296-5105
NPI assigned
Jan 23, 2007
Last updated
Jan 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Dr. Harvey G Goodman, MDNPI 1679574362
Title
President
Phone
(520) 745-2086

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
Clinic/Center 261Q00000X 6309 AZ Primary

Addresses

Primary practice location

5610 E Grant Rd
Tucson, AZ 85712-2239

Mailing address

5610 E Grant Rd
Tucson, AZ 85712-2239
Phone (520) 745-2086

National Provider Directory

National Provider Directory

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1700931797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122239",
            "telephone_number": "520-745-2086",
            "fax_number": "520-296-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122239",
            "telephone_number": "520-745-2086",
            "fax_number": "520-296-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY-CHILD NEUROLOGY OF TUCSON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-745-2086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "6309",
            "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 Jan 5, 2009; 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.