Provider Demographics
NPI:1720017429
Name:TUCSON PULMONOLOGY, P.C.
Entity Type:Organization
Organization Name:TUCSON PULMONOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLAN BELANGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MBA
Authorized Official - Phone:203-446-9065
Mailing Address - Street 1:6567 E CARONDELET DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-2156
Mailing Address - Country:US
Mailing Address - Phone:520-885-1402
Mailing Address - Fax:520-722-5887
Practice Address - Street 1:6567 E CARONDELET DR STE 515
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-6158
Practice Address - Country:US
Practice Address - Phone:520-885-1402
Practice Address - Fax:520-722-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZWMBQY03Medicare PIN
Z135207Medicare PIN
AZZ114837Medicare PIN
D37644Medicare UPIN
I58356Medicare UPIN
F89334Medicare UPIN
AZZWMBQY01Medicare PIN
D35910Medicare UPIN
F93279Medicare UPIN
E91393Medicare UPIN
AZZ114832Medicare PIN
AZZ70831Medicare PIN
AZZ110500Medicare PIN
Z132132Medicare PIN
I72662Medicare UPIN
H18677Medicare UPIN
AZZWMBQY04Medicare PIN
AZZ65646Medicare PIN
Z140095Medicare PIN