Department of Veterans Affairs

Primary specialty

Military HospitalTaxonomy code 286500000X

License

010773 Issued in AZ

Legal business name

DEPARTMENT OF VETERANS AFFAIRS

Practice address

437 E Mohave Rd
Tucson, AZ 85705-3627

Phone

(520) 647-9746

NPI assigned

Jan 30, 2013

Last updated

Jan 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Gardner

Title

Director

Phone

(520) 792-1450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUTHERN ARIZONA VA HEALTH CARE SYSTEM Other name

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1962740662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 E MOHAVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053627",
            "telephone_number": "520-647-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 E MOHAVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053627",
            "telephone_number": "520-647-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-792-1450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "AZ",
            "license": "010773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHOENIX HEALTH PLAN",
            "identifier": "A82010117  001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN ARIZONA VA HEALTH CARE SYSTEM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sharlyn Kay Deombeleg
• Arian Deonarain, MD
• Michael James Depalma, D.O.
• Department of Veterans Affairs
• Department of Veterans Affairs
• Michael J Depaso, M.D.
• Dependable Home Health Inc.
• Dependable Hospice and Palliative Care LLC
• Dependable Nurses, Inc.
• Dependable Personnel. Inc.

• Military Hospital in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Military Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.