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Deactivated NPI 1013091446 Deactivated / Inactive NPI Male Practitioner

Dr. Ottfried Vonwaldenburg , MD

General Practice • Tucson, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ottfried Vonwaldenburg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 24, 2006
NPI Deactivation Date March 08, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Ottfried Vonwaldenburg, MD was a registered General Practice practicing in Tucson, AZ. Throughout an active medical career spanning 17 years, Dr. Vonwaldenburg provided care at the practice location at 7900 S J STOCK RD until profile deactivation on 2023-03-08.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

7900 S J Stock Rd

Tucson, AZ 857467012

Telephone 5202952503
Associated Practice Facility / Clinic
🏢 Ton San Xavier Health Center Facility NPI 1437157302

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Tucson, AZ (259 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
143 119 $187.40 $47.15

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VT 0420005828

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Latoya Bonner

Pharmacist - Pharmacotherapy

NPI 1003991233
Alethea Kneece , RN

Registered Nurse

NPI 1013093772

Registered Nurse

NPI 1023198967

Doctor of Dental Surgery

Kofi Ansah

Pharmacist - Pharmacotherapy

NPI 1053496281
Prakash Shah

Pharmacist

NPI 1053583831
Rebecca Harry , PT

Physical Therapist

NPI 1063592624

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 08, 2023

Record deactivated on March 08, 2023

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 7900 S J STOCK RD, TUCSON, AZ 857467012 (Tel: 5202952503)

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Updated Business Mailing Address July 09, 2007

Registered at 7900 S J STOCK RD, TUCSON, AZ 857467012 (Tel: 5202952503)

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Provider Name / Credentials Updated July 09, 2007

Recorded as OTTFRIED VONWALDENBURG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

General Practice (License #0420005828 in VT)

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Initial NPI Registration & Enumeration October 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013091446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2006
Last Update: July 09, 2007
Deactivation Date: March 08, 2023

Mailing Address

7900 S J Stock Rd

Tucson, AZ 857467012

Phone: 5202952503

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.