NPI Code Details Logo

NPI 1396278719

NPI 1396278719 : CASSIDY ELIZABETH PATTIK M.D. : TUCSON, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1396278719
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CASSIDY ELIZABETH PATTIK M.D.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/04/2017
-----------------------------------------------------
    Last Update Date     |    12/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6950 E GOLF LINKS RD 
-----------------------------------------------------
    City                 |    TUCSON
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85730-1017
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    520-670-3909
-----------------------------------------------------
    Fax                  |    520-309-2560
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    839 W CONGRESS ST 
-----------------------------------------------------
    City                 |    TUCSON
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85745-2819
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    520-670-3909
-----------------------------------------------------
    Fax                  |    520-309-2560
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208M00000X
-----------------------------------------------------
    Taxonomy Name        |    Hospitalist Physician
-----------------------------------------------------
    License Number       |    1396278719
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    ME143069
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    261QP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Clinic/Center
-----------------------------------------------------
    License Number       |    78260
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.