NPIMap

Organization Active NPI

Carondelet Medical Group Inc

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
National Provider Identifier
1972834984
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0546 Issued in AZ
Legal business name
CARONDELET MEDICAL GROUP INC
Practice address
630 N Alvernon Way Ste 251
Tucson, AZ 85711-1879
Phone
(520) 319-3283
Fax
(520) 319-3982
NPI assigned
Jan 15, 2010
Last updated
Aug 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Paula Register
Title
Senior Vice President
Phone
(520) 872-7076

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0546 AZ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 0585
Foot & Ankle Surgery Podiatrist 213ES0103X 647 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X 0666 AZ

Addresses

Primary practice location

630 N Alvernon Way Ste 251
Tucson, AZ 85711-1879

Mailing address

PO Box 29347
Phoenix, AZ 85038-9347
Phone (520) 872-7000

National Provider Directory

National Provider Directory

Locations

10222 E Rita Rd
Ste 170
Tucson, AZ 85747
Phone (520) 873-6200

1802 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 205-7520

3939 S Park Ave
Ste 150
Tucson, AZ 85714
Phone (520) 333-4320

3987 E Paradise Falls Dr
Ste 118
Tucson, AZ 85712
Phone (520) 318-1745

541 W Wetmore Rd
Tucson, AZ 85705
Phone (520) 888-7095

6566 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 872-7800

8245 N Silverbell Rd
Ste 159
Tucson, AZ 85743
Phone (520) 257-5520

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1972834984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29347",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389347",
            "telephone_number": "520-872-7000",
            "fax_number": "520-872-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N ALVERNON WAY STE 251",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111879",
            "telephone_number": "520-319-3283",
            "fax_number": "520-319-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "REGISTER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "520-872-7076"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0546",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": "0585",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "647",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0666",
            "primary": false
        }
    ],
    "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 4, 2010; 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.