Active NPI
Paul R. Lichtenstein, M.D., P.C.
- Specialist
- Tucson, AZ
National Provider Identifier
1750595062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AZ8814
- Legal business name
- PAUL R. LICHTENSTEIN, M.D., P.C.
- Practice address
- 5200 E Farness Dr Ste 100
Tucson, AZ 85712-2140 - Phone
- (520) 326-6882
- Fax
- (520) 326-6886
- NPI assigned
- May 9, 2007
- 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
- Dr. Paul Robert Lichtenstein, M.D.
- Title
- President
- Phone
- (520) 326-6882
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 |
|---|---|---|---|---|
| Specialist | 174400000X | AZ8814 | 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 |
|---|---|---|---|
| 21108814 | Other | AZ | STATE FUND-ICA |
| 2309960 | Other | AZ | DES |
| AZ0056210 | Other | AZ | BCBS |
| 1Z3294 | Other | AZ | HEALTHNET |
National Provider Directory
National Provider DirectoryLocations
5200 E Farness Dr
#100
Tucson, AZ 85712
Phone (520) 795-7260
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Tucson, AZ
- NPI 1699766154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750595062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 E FARNESS DR 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 STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122140",
"telephone_number": "520-326-6882",
"fax_number": "520-326-6886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL R. LICHTENSTEIN, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LICHTENSTEIN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "520-326-6882",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AZ",
"license": "AZ8814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE FUND-ICA",
"identifier": "21108814",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DES",
"identifier": "2309960",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0056210",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1Z3294",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.