TUCSON MEDICAL CENTER (NPI# 1174512792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174512792 |
| Entity Type | Organization |
| Organization Name | TUCSON MEDICAL CENTER |
| Practice Address |
5301 E Grant Rd Tucson AZ 85712-2805 |
| Mailing Address |
Po Box 31267 Tucson AZ 85751-1267 |
| Practice Telephone | 5203242535 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2007-12-05 |
| Authorized Official Name | NATE TANPIENGCO (CORPORATE SR VP - CFO) |
| Authorized Official Telephone | 5203241160 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H-0012 | AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 020462 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689200230 | Tucson Medical Center | Clinical Medical Laboratory | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-03-16 |
| 1417361239 | Tucson Medical Center | Psychiatric Unit | 2221 N Rosemont Blvd, Tucson, AZ 85712-2113 | 2014-06-19 |
| 1578804043 | Tucson Medical Center | Durable Medical Equipment & Medical Supplies | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2013-03-08 |
| 1265744486 | Tucson Medical Center | General Acute Care Hospital | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2010-07-02 |
| 1699984179 | Tucson Medical Center | General Acute Care Hospital | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2007-05-22 |
| 1750322210 | Tucson Medical Center | Pharmacy | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2006-06-08 |
| 1881683126 | Tucson Medical Center | Psychiatric Unit | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2005-10-19 |
| 1477542892 | Tucson Medical Center | Hospice, Inpatient | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2005-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TUCSON MEDICAL CENTER | 2585 N Wyatt Dr, Tucson, AZ 85712-6104 |
| Street Address |
5301 E GRANT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910157 | Coleman Wade Davidson II | Obstetrics & Gynecology | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2005-05-23 |
| 1134720501 | Rosalee Valdivia Blair | Pharmacist | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2020-11-03 |
| 1811509383 | Julia Jennifer Ni | Registered Nurse | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-08-17 |
| 1295345759 | Myriam Raquel Hanna | Physical Therapist | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2020-08-08 |
| 1104443134 | Carlos Venancio Bejarano | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-06-25 |
| 1326664566 | Michelle Skrzelowski | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2020-06-23 |
| 1295351591 | Chloe Evelyn Williams | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2020-06-23 |
| 1790301901 | Raveena Kaur Brar | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-06-23 |
| 1043835333 | Danielle Monique Anderson | Pharmacist | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-06-11 |
| 1336764927 | Brandon Pike | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-06-10 |
| Find all providers in the same location | ||||
| 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 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 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 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598121 | Smsj Tucson Holdings LLC | General Acute Care Hospital | 7401 S Wilmot Rd, Tucson, AZ 85756 | 2020-11-03 |
| 1487218509 | Smsj Tucson Holdings, LLC | General Acute Care Hospital | 5620 W Cortaro Farms Rd, Tucson, AZ 85742-9559 | 2019-04-24 |
| 1851764328 | Banner University Medical Center-tucson | General Acute Care Hospital | 1303 E University Blvd, Box 4, Tucson, AZ 85719-0521 | 2015-11-05 |
| 1548688393 | Jorge Lopez Jr. | General Acute Care Hospital | 3029 W Coriander Dr, Tucson, AZ 85741-3659 | 2014-03-30 |
| 1851641377 | Evangeline Sara Wiest | General Acute Care Hospital | 733 S Herbert Ave, Tucson, AZ 85701-2735 | 2012-09-12 |
| 1487952438 | University Medical Center | General Acute Care Hospital | Department of Neurology 1501 North Campbell Ave, Tucson, AZ 85724-5023 | 2011-02-28 |
| 1154591881 | The University of Arizona | General Acute Care Hospital | 1501 North Campbell Avwnue, Tucson, AZ 85721-0001 | 2008-03-10 |
| 1396928925 | University Medical Center | General Acute Care Hospital | 3300 N Paseo De Los Rios, Apt 15202, Tucson, AZ 85712-6051 | 2007-12-05 |
| 1922292390 | University of Arizona Medical Center | General Acute Care Hospital | University of Arizona Dept of Infectious Disease, 1501 N. Campbell Ave, Tucson, AZ 85724-0001 | 2007-08-29 |
| 1730373390 | Aristidis George Delis | General Acute Care Hospital | 9225 E Tanque Verde Rd, Apt 41203, Tucson, AZ 85749-8718 | 2007-08-28 |
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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.