OLD PUEBLO CARDIOLOGY PC
NPI 1568643229
Internal Medicine - Cardiovascular Disease in Tucson, AZ

NPI Status: Active since November 21, 2007

Contact Information

3955 E FORT LOWELL RD
SUITE 113
TUCSON, AZ
ZIP 85712
Phone: (520) 323-7277
Fax: (520) 881-1968

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • Accepts Insurance

About OLD PUEBLO CARDIOLOGY PC

This page provides the complete NPI Profile along with additional information for Old Pueblo Cardiology Pc, an internist established in Tucson, Arizona operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1568643229 assigned on November 2007. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Lee Goldberg (Medical Director)

NPI
1568643229
Provider Name
OLD PUEBLO CARDIOLOGY PC
Entity Type
Organization
Location Address
3955 E FORT LOWELL RD SUITE 113 TUCSON, AZ 85712
Location Phone
(520) 323-7277
Location Fax
(520) 881-1968
Mailing Address
PO BOX 64086 TUCSON, AZ 85728
Mailing Phone
(520) 323-7277
Mailing Fax
(520) 881-1968
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2007
Last Update Date
01-20-2012
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An internist like Old Pueblo Cardiology Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR0200XAmbulatory Health Care Facilities

Clinic/Center
Radiology

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEE GOLDBERG

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(520) 323-7277

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Z119329OTHER (01)AZPTAN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568643229
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128124624
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 2 + 4 + 6 + 2 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1568643229 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609895218 LEE RANDALL GOLDBERG M.D.
Individual
Internal Medicine (Interventional Cardiology)3955 E FORT LOWELL RD SUITE 113
TUCSON, AZ 85712
(520) 323-7277
1104358407DR. JOSEPH CHARLES DEBOE DNP, ACNPC-AG, CCRN
Individual
Nurse Practitioner3955 E FORT LOWELL RD STE 113
TUCSON, AZ 85712
(520) 323-7277
1487258133 JENNIFER LYNN WARD DNP
Individual
Nurse Practitioner (Acute Care)3955 E FORT LOWELL RD
TUCSON, AZ 85712
(520) 323-7277

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568643229, enumerated in the NPI registry as an "organization" on November 21, 2007

The provider is located at 3955 E Fort Lowell Rd Suite 113 Tucson, Az 85712 and the phone number is (520) 323-7277

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.