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Michael J Louthan

Anesthesiology

Allopathic & Osteopathic Physicians

6200 N La Cholla Blvd, Tucson, AZ 85741-3529

PECOS Enrollment

This provider is enrolled in PECOS as MICHAEL LOUTHAN.

Based on the most recent information from CMS, provider Michael J Louthan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1013994276
Provider Type
Individual
Full Name
Louthan, Michael J
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
12/29/2005
Last Updated
12/31/2021

Contact Information

Practice Location

6200 N La Cholla Blvd, Tucson, AZ 85741-3529

(520) 742-9000

Unlisted Fax

Mailing Location

645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351

(602) 262-8917

(602) 262-8890

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 63364 Arizona
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License 01041800 Indiana

Michael J Louthan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Catalina Anesthesiology Pc

Morales, Monnica Catherine

Guttikonda, Lakshminarayana

Ahsaei, Ramin

Nichols, Kathleen P

Ramirez, Mark

Marcus, R-Jay

Steven E Behr Md Pc

Buazza, Ahmed

Kathleen P Nichols Md Pc