PISA ASC HOLDCO LLC (NPI# 1174185649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174185649 |
| Entity Type | Organization |
| Organization Name | PISA ASC HOLDCO LLC |
| Other Organization Name | PAIN INSTITUTE OF SOUTHERN ARIZONA PROCEDURE CENTER |
| Practice Address |
4741 E Camp Lowell Drive Tucson AZ 85712 |
| Mailing Address |
4881 E Grant Road Suite 101 Tucson AZ 85712 |
| Practice Telephone | 5203186035 |
| Practice Fax Number | 5207959953 |
| Mailing Telephone | 5203186035 |
| Mailing Fax Number | 5207959953 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | JOHN H COLE (CEO) |
| Authorized Official Telephone | 5203186035 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pain Institute of Southern Arizona Procedure Center | Doing Business As Name - Organization |
| Street Address |
4741 E CAMP LOWELL DRIVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| 1780106765 | Moc Tucson, LLC | Skilled Nursing Facility | 5151 East Pima Street, Tucson, AZ 85712 | 2017-07-12 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1225690076 | Center for Pain Management LLC | Clinic/Center | 6060 N Fountain Drive, Tucson, AZ 85741 | 2019-07-02 |
| 1932636123 | Tucson Digestive Institute LLC | Clinic/Center | 7566 N La Cholla Blvd Ste B, Tucson, AZ 85741 | 2017-05-18 |
| 1174067318 | Ski Ambulatory Surgical Centers, LLC | Clinic/Center | 325 S Euclid Ave, Suite 109, Tucson, AZ 85719-6653 | 2016-12-07 |
| 1376998666 | Swan Surgery Center, LLC | Clinic/Center | 1505 N Swan Rd # 101, Tucson, AZ 85712-4044 | 2016-04-25 |
| 1013310283 | Oracle Surgery Center LLC | Clinic/Center | 5585 N Oracle Rd, Tucson, AZ 85704-3821 | 2014-10-02 |
| 1851710735 | Surgcenter Tucson, LLC | Clinic/Center | 3945 E Fort Lowell Rd, Tucson, AZ 85712-1036 | 2014-04-08 |
| 1760817746 | Puente Nuevo #2, LLC, Dba La Paloma Surgery Center | Clinic/Center | 4041 E Sunrise Dr, Tucson, AZ 85718-4333 | 2013-09-09 |
| 1255604534 | Barnet Dulaney Perkins Eye Center II Pllc | Clinic/Center | 698 E Wetmore, Suite 120, Wetmore Surgery Center, Tucson, AZ 85704 | 2012-02-16 |
| 1831487867 | University of Arizona | Clinic/Center | 5926 N Campo Abierto, Tucson, AZ 85718-3456 | 2011-07-12 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.