Active NPI
Debby J Blank, M.D.
- General Practice Physician
- Tucson, AZ
National Provider Identifier
1750604542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 42490
- Practice address
- 5981 E Grant Rd
Ste. #115
Tucson, AZ 85712-2363 - Phone
- (520) 886-5315
- Fax
- (520) 298-8204
- NPI assigned
- Mar 8, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 42490 | AZ | Primary |
Addresses
Primary practice location
5981 E Grant Rd
Ste. #115
Tucson, AZ 85712-2363
Mailing address
1951 N Wilmot Rd
BLDG. #1 Ste.# 2
Tucson, AZ 85712-8000
Phone (520) 722-3777
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Pueblo Healthcare LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1750604542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 N WILMOT RD",
"address_2": "BLDG. #1 STE.# 2",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857128000",
"telephone_number": "520-722-3777",
"fax_number": "520-296-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5981 E GRANT RD",
"address_2": "STE. #115",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122363",
"telephone_number": "520-886-5315",
"fax_number": "520-298-8204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANK",
"first_name": "DEBBY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "42490",
"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 Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.