Active NPI
Horizon Medical, LLC
- Primary Care Clinic/Center
- Tucson, AZ
National Provider Identifier
1720303324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 19934
- Legal business name
- HORIZON MEDICAL, LLC
- Practice address
- 7459 E Tanque Verde Rd
Tucson, AZ 85715-3477 - Phone
- (520) 547-5688
- NPI assigned
- Apr 7, 2010
- Last updated
- May 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- German G Lasala, MD
- Title
- Manager
- Phone
- (520) 991-7258
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 19934 | AZ | Primary |
Addresses
Primary practice location
7459 E Tanque Verde Rd
Tucson, AZ 85715-3477
Mailing address
7459 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 207-7296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7459 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 207-7296
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.
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1124086392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305504000000",
"number": "1720303324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7459 E TANQUE VERDE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153477",
"telephone_number": "520-207-7296",
"fax_number": "520-207-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7459 E TANQUE VERDE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153477",
"telephone_number": "520-547-5688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORIZON MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-07",
"last_updated": "2011-05-16",
"status": "A",
"authorized_official_last_name": "LASALA",
"authorized_official_first_name": "GERMAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "520-991-7258",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "AZ",
"license": "19934",
"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 May 16, 2011; 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.