BREAST CENTER OF SOUTHERN ARIZONA LLC (NPI# 1467552273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467552273 |
| Entity Type | Organization |
| Organization Name | BREAST CENTER OF SOUTHERN ARIZONA LLC |
| Practice Address |
5230 E Farness Dr Suite 104 Tucson AZ 85712-2141 |
| Mailing Address |
Po Box 43130 Tucson AZ 85733-3130 |
| Practice Telephone | 5203196686 |
| Practice Fax Number | 5203196696 |
| Mailing Telephone | 5207223777 |
| Mailing Fax Number | 5202966224 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ERIC B WHITACRE (PRESIDENT) |
| Authorized Official Telephone | 5203196686 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 32120 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 829426 | 05 |
| Street Address |
5230 E FARNESS DR SUITE 104 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336113539 | Steven Lee Oscherwitz | Internal Medicine | 5230 E Farness Dr, Ste 100, Tucson, AZ 85712-2141 | 2006-02-14 |
| 1932574498 | Infectious Disease of Arizona Pllc | Internal Medicine | 5230 E Farness Dr, Ste 100, Tucson, AZ 85712-2141 | 2015-12-09 |
| 1699161406 | Angela Curry | Nurse Practitioner | 5230 E Farness Dr, Suite 100, Tucson, AZ 85712-2141 | 2015-04-08 |
| 1235239146 | Eric B Whitacre | Surgery | 5230 E Farness Dr, Suite 104, Tucson, AZ 85712-2141 | 2006-09-22 |
| 1841398211 | Richard M Mandel | Internal Medicine | 5230 E Farness Dr, Suite 100, Tucson, AZ 85712-2141 | 2006-09-20 |
| 1912936907 | Marcelo Eduardo Nasif | Internal Medicine | 5230 E Farness Dr, Suite 100, Tucson, AZ 85712-2141 | 2006-07-02 |
| 1346286275 | Laura Lisa Valdivia | Internal Medicine | 5230 E Farness Dr, Suite 100, Tucson, AZ 85712-2141 | 2006-06-21 |
| 1760429864 | Clifford P Martin | Internal Medicine | 5230 E Farness Dr, Suite 100, Tucson, AZ 85712-2141 | 2006-05-31 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365702 | Ducharme General Surgery, Pllc | Surgery | 1200 N El Dorado Pl Ste E-520, Tucson, AZ 85715-4637 | 2020-10-27 |
| 1588285910 | Casey Leonard Charlton | Surgery | 1300 E Fort Lowell Rd, Tucson, AZ 85719-2222 | 2020-04-27 |
| 1669987566 | Robert E Maxam | Surgery | 3831 E Chico Ln, Tucson, AZ 85739-9726 | 2017-12-13 |
| 1932553708 | David Bruce Powell | Surgery | General Surgery Residency Program, 1501 N. Campbell Ave, Tucson, AZ 85724-0001 | 2016-04-19 |
| 1245643691 | John Granger | Surgery | 6181 W Bandelier Ct, Tucson, AZ 85742-8763 | 2014-06-03 |
| 1598101347 | Thomas Edmund Obrien | Surgery | 5240 Circulo Sobrio, Tucson, AZ 85718 | 2013-05-21 |
| 1427305770 | David Anaise | Surgery | 177 N Church Ave Ste 200, Tucson, AZ 85701-1153 | 2012-08-06 |
| 1750669024 | Matthew Mobily | Surgery | 4236 N Rio Cancion Apt 142, Tucson, AZ 85718-7149 | 2011-08-03 |
| 1558664656 | Seneca Lawrence Erman | Surgery | 3394 N Wood Violet Ct, Tucson, AZ 85750-3147 | 2010-12-10 |
| 1053622548 | Bradley Eleazar Neuman | Surgery | 4343 E Fortaleza St, Tucson, AZ 85712-1112 | 2010-06-29 |
| 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.