TUCSON VASCULAR SURGERY (NPI# 1568592558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568592558 |
| Entity Type | Organization |
| Organization Name | TUCSON VASCULAR SURGERY |
| Practice Address |
1815 W St. Mary's Rd Tucson AZ 85745 |
| Mailing Address |
Po Box 85727 Tucson AZ 85754-5727 |
| Practice Telephone | 5206281400 |
| Practice Fax Number | 5206284863 |
| Mailing Telephone | 5206288686 |
| Mailing Fax Number | 5202970626 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRISTI L CUBBLER (C.O.O.) |
| Authorized Official Telephone | 5206288686 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1815 W ST. MARY'S RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
| 1275876518 | Sara Catherine Mckeever | Surgery | 6565 E Carondelet Dr Ste 235, Tucson, AZ 85710-3533 | 2013-04-05 |
| 1619095908 | Arizona Endovascular Pllc | Surgery | 6377 E Tanque Verde Rd Ste 101, Tucson, AZ 85715-3839 | 2007-03-26 |
| 1679670483 | Luis R. Leon | Surgery | 2404 E River Rd Ste 100, Tucson, AZ 85718-6521 | 2006-09-20 |
| 1902913528 | Rhonda Carol Quick | Surgery | 1815 W St Marys Road, Tucson, AZ 85745-2653 | 2006-08-23 |
| 1609980499 | Bernardo Mendoza | Surgery | 1815 W Saint Marys Rd, Tucson, AZ 85745-2653 | 2006-08-18 |
| 1083606669 | John Paul Pacanowski | Surgery | 2404 E River Rd Bldg 2, Tucson, AZ 85718-6520 | 2005-08-18 |
| 1023013158 | Ronald A Kline | Surgery | 3900 E Broadway Blvd, Tucson, AZ 85711-3453 | 2005-06-15 |
| 1679578702 | Eric Scott Berens | Surgery | 6565 E Carondelet Dr, # 235, Tucson, AZ 85710-3533 | 2005-06-15 |
| 1740802982 | Douglas Stockton | Surgery | 1501 N Campbell Ave Rm 4402, Tucson, AZ 85724-0001 | 2020-05-11 |
| 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.