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TATUM RIDGE INTERNAL MEDICINE PLC
NPI 1083622997
Internal Medicine in Phoenix, AZ

Active since August 04, 2006CLIA 03D0527558 · Waiver
18404 N TATUM BLVD, STE 205, PHOENIX, AZ 85032(602) 971-5500(602) 944-0504 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tatum Ridge Internal Medicine Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATUM RIDGE INTERNAL MEDICINE PLC (NPI 1083622997) is a healthcare organization registered as an internal medicine in Phoenix, Arizona and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists David Lawrence Elliot, Physician Partner, as its authorized official.

NPPES Registry Identity

NPI1083622997
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTATUM RIDGE INTERNAL MEDICINE PLC
Location Address18404 N TATUM BLVD, STE 205Phoenix, AZ 85032-1509
Mailing Address18404 N Tatum Blvd, Ste 205Phoenix, AZ 85032-1509 · (602) 971-5500 · Fax (602) 944-0504
Phone(602) 971-5500
Fax(602) 944-0504
Organization SubpartNo
Authorized OfficialDavid Lawrence ElliotPhysician Partner · (602) 971-5500
Enumeration DateAugust 4, 2006
Last NPPES UpdateMarch 30, 2011
✔ NPI 1083622997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
18404 N TATUM BLVD, Phoenix, AZ 85032
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Other Identifiers 5

Medicare UPINB38749AZ
Medicare UPINE90081AZ
Medicare UPIND36801AZ
Medicare PIN63515AZ
Medicare UPINH00069AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0527558

Tatum Ridge Internal Medicine Plc · Phoenix, AZ
Active · expires Dec 22, 2027
CLIA Number03D0527558
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorLarry K. Gassner
Laboratory Phone(602) 971-5500
Laboratory LocationTatum Ridge Internal Medicine Plc18404 N Tatum Blvd #205, Phoenix, AZ 85032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIZONA ADVANCED INTERNAL MEDICINE, PLLC
Internal Medicine
18404 N TATUM BLVD, 206
PHOENIX, AZ 85032
Maricopa County (602) 867-0111
PHILLIP V PILEGGI DO
Family Medicine
18404 N TATUM BLVD, STE. 101
PHOENIX, AZ 85032
Maricopa County (602) 992-1900
HEATHER ELWOOD M.D.
Family Medicine
18404 N TATUM BLVD, SUITE 101
PHOENIX, AZ 85032
Maricopa County (602) 992-1900
ARASH GIANCARLO VISHTEH MD
Neurological Surgery
18404 N TATUM BLVD, 205
PHOENIX, AZ 85032
Maricopa County (480) 827-2200
JOHN C LINCOLN LLC
Family Medicine
18404 N TATUM BLVD, SUITE 101
PHOENIX, AZ 85032
Maricopa County (602) 992-1900
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Orthopaedic Surgery
18404 N TATUM BLVD, SUITE 202
PHOENIX, AZ 85032
Maricopa County (480) 473-3668
DR. DAVID L ELLIOTT MD
Internal Medicine
18404 N TATUM BLVD, STE 205
PHOENIX, AZ 85032
Maricopa County (602) 971-5500
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Orthopaedic Surgery
18404 N TATUM BLVD, STE 202
PHOENIX, AZ 85032
Maricopa County (480) 800-6025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tatum Ridge Internal Medicine Plc's NPI number?

The NPI number for Tatum Ridge Internal Medicine Plc is 1083622997. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Tatum Ridge Internal Medicine Plc located?

Tatum Ridge Internal Medicine Plc is located at 18404 N Tatum Blvd Ste 205, Phoenix, AZ 85032. The listed phone number is (602) 971-5500.

What is Tatum Ridge Internal Medicine Plc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Tatum Ridge Internal Medicine Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0527558) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tatum Ridge Internal Medicine Plc was last updated on March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.