Organization Active NPI

TLC Medical Group - Catalina Foothills

  • Primary Care Clinic/Center
  • Tucson, AZ
National Provider Identifier
1952369324
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
PENDING Issued in AZ
Legal business name
TLC MEDICAL GROUP - CATALINA FOOTHILLS
Practice address
1775 E Skyline Dr
Ste 175
Tucson, AZ 85718-1162
Phone
(520) 795-3700
Fax
(520) 901-6550
NPI assigned
May 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott M Bolhack, MD
Title
Ceo
Phone
(520) 615-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X PENDING AZ Primary

Addresses

Primary practice location

1775 E Skyline Dr
Ste 175
Tucson, AZ 85718-1162

Mailing address

1775 E Skyline Dr
Ste 175
Tucson, AZ 85718-1162
Phone (520) 795-3700

National Provider Directory

National Provider Directory

Locations

1775 E Skyline Dr
Ste 175
Tucson, AZ 85718
Phone (520) 222-8400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952369324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 E SKYLINE DR",
            "address_2": "STE 175",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181162",
            "telephone_number": "520-795-3700",
            "fax_number": "520-901-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E SKYLINE DR",
            "address_2": "STE 175",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181162",
            "telephone_number": "520-795-3700",
            "fax_number": "520-901-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MEDICAL GROUP - CATALINA FOOTHILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLHACK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-615-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "PENDING",
            "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 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.

Verify at the official NPI Registry.