Individual provider Active NPI

Thomas Wayne Futch, M.D.

  • Occupational Medicine Physician
  • Tucson, AZ
National Provider Identifier
1891848446
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
16191 Issued in AZ
Practice address
4600 S Park Ave
Suite 5
Tucson, AZ 85714-1697
Phone
(520) 889-9574
Fax
(520) 889-5072
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 16191 AZ Primary

Addresses

Primary practice location

4600 S Park Ave
Suite 5
Tucson, AZ 85714-1697

Mailing address

9322 N Gazelle PL
Tucson, AZ 85742-9525
Phone (520) 572-6823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000283 AZ Practitioner - Preventive Medicine 7719034032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Arizona PA CurrentSince Apr 10, 2015 Accepting new patients

Locations

1110 E Route 66
Ste 100
Flagstaff, AZ 86001
Phone (928) 527-1920

4600 S Park Ave
Tucson, AZ 85714
Phone (520) 889-9574

4600 S Park Ave
Ste 5
Tucson, AZ 85714
Phone (520) 889-9574

7119 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 881-0050

4600 S Park Ave
Ste 6
Tucson, AZ 85714
Phone (520) 889-3358

2005 W Ruthrauff Rd
Ste 111
Tucson, AZ 85705
Phone (520) 293-7250

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1891848446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9322 N GAZELLE PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429525",
            "telephone_number": "520-572-6823",
            "fax_number": "520-572-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S PARK AVE",
            "address_2": "SUITE 5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141697",
            "telephone_number": "520-889-9574",
            "fax_number": "520-889-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTCH",
        "first_name": "THOMAS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AZ",
            "license": "16191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.