MEDICARE: DR. STANLEY CARL USHINSKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	MD009978E	PA
2	207K00000X	Allergy & Immunology Physician	25839	AZ

General Provider Information

NPI Number	:	1740445782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STANLEY CARL USHINSKI MD

Provider Business Mailing Address
First Line	:	5160 NORTH CAMINO SUMO
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-6044
Country	:	US
Telephone Number	:	520-615-1008
Fax Number	:	520-615-3366

Provider Business Practice Location Address
First Line	:	5160 NORTH CAMINO SUMO
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-6044
Country	:	US
Telephone Number	:	520-615-1008
Fax Number	:	520-615-3366

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2008
Last Update Date	:	01/25/2026

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