Provider Demographics
NPI:1689692279
Name:TEMPKIN, AMY D (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:D
Last Name:TEMPKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6151 N CAMINO ALMONTE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-3729
Mailing Address - Country:US
Mailing Address - Phone:520-907-2621
Mailing Address - Fax:
Practice Address - Street 1:6151 N CAMINO ALMONTE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718
Practice Address - Country:US
Practice Address - Phone:520-907-2621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ335332085U0001X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1689692279OtherPHYSICIAN INDIVIDUAL NPI
AZCS7943OtherGROUP MEDICARE RAILROAD ID & PTAN
AZ115171Medicaid
AZ1841261989OtherGROUP NPI
AZZWCBBMOtherGROUP MEDICARE ID
AZ005472OtherGROUP MEDICAID ID
AZP00701682OtherMEDICARE RAILROAD
AZP00701682OtherMEDICARE RAILROAD
AZ1689692279OtherPHYSICIAN INDIVIDUAL NPI