Organization Active NPI

Ronald M. Mann, M.D. P.C.

Doing business as Catalina Dermatology

  • Dermatology Physician
  • Tucson, AZ
National Provider Identifier
1861688434
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
31923 Issued in AZ
Legal business name
RONALD M. MANN, M.D. P.C.
Doing business as
Catalina Dermatology
Practice address
5700 E Pima St
Suite I
Tucson, AZ 85712-5601
Phone
(520) 529-8883
Fax
(520) 290-0039
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Ronald Maynard MannNPI 1902845738
Title
Manager
Phone
(520) 529-8883

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 31923 AZ Primary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X 31923 AZ

Addresses

Primary practice location

5700 E Pima St
Suite I
Tucson, AZ 85712-5601

Mailing address

5700 E Pima St
Suite I
Tucson, AZ 85712-5601
Phone (520) 529-8883

Other names 1

  • Catalina Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090603000039 AZ Part B Supplier - Clinic/Group Practice 1456336676 Receives reassigned benefits from 5 practitioners
Practice locations: Tucson, AZ; Casa Grande, AZ

National Provider Directory

National Provider Directory

Locations

7355 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 524-8883

5700 E Pima St
Ste I
Tucson, AZ 85712
Phone (520) 529-8883

2300 S Houghton Rd
Ste 280
Tucson, AZ 85748
Phone (520) 479-1881

Practitioners & affiliated clinicians

Practitioners 5

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": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1861688434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 E PIMA ST",
            "address_2": "SUITE I",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125601",
            "telephone_number": "520-529-8883",
            "fax_number": "520-290-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 E PIMA ST",
            "address_2": "SUITE I",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125601",
            "telephone_number": "520-529-8883",
            "fax_number": "520-290-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD M. MANN, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MAYNARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-529-8883"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "31923",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "31923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catalina Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 18, 2007; 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.

Verify at the official NPI Registry.