Individual provider Active NPI

Patrick James Marsh, D.O.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1922109354
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2502 Issued in AZ
Practice address
1925 W Orange Grove Rd
Suite 204
Tucson, AZ 85704-1151
Phone
(520) 797-8555
Fax
(520) 575-1566
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2502 AZ Primary

Addresses

Primary practice location

1925 W Orange Grove Rd
Suite 204
Tucson, AZ 85704-1151

Mailing address

7440 N Oracle Rd
# 7
Tucson, AZ 85704-6385
Phone (520) 797-5603

Other identifiers 4

IdentifierTypeStateIssuer
29-10-0093OtherAZSTATE COMPENSATION FUND
AZ0221640OtherAZBC/BS OF AZ
P00216247OtherAZRAILROAD MEDICARE
2502OtherAZARIZONA STATE LICENSE

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
I20040722000105 AZ Practitioner - Family Practice 3678553518 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Oct 1, 2017 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Oct 1, 2017 Accepting new patients
Carondelet Medical Group Inc Past Accepting new patients
Susan S Courtney Family Medicine Past Accepting new patients
Arizona Professional Medical Associates, LTD. Family Medicine Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients

Locations

7440 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 293-4896

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

1925 W Orange Grove Rd
Ste 204
Tucson, AZ 85704
Phone (520) 297-1550

7440 N Oracle Rd
Bldg 7
Tucson, AZ 85704
Phone (520) 333-7618

Organizations & group practices 6

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1922109354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 N ORACLE RD",
            "address_2": "# 7",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046385",
            "telephone_number": "520-797-5603",
            "fax_number": "520-638-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W ORANGE GROVE RD",
            "address_2": "SUITE 204",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041151",
            "telephone_number": "520-797-8555",
            "fax_number": "520-575-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE COMPENSATION FUND",
            "identifier": "29-10-0093",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AZ",
            "identifier": "AZ0221640",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00216247",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE LICENSE",
            "identifier": "2502",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.