WYATT SURGERY CENTER LLC (NPI# 1588126791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588126791 |
| Entity Type | Organization |
| Organization Name | WYATT SURGERY CENTER LLC |
| Practice Address |
2424 N Wyatt Dr Ste 160 Tucson AZ 85712-6115 |
| Mailing Address |
5240 E Knight Dr Ste 104 Tucson AZ 85712-2183 |
| Practice Telephone | 3343146079 |
| Mailing Telephone | 3343146079 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | MICHAEL C DIESENHOUSE (MANAGER) |
| Authorized Official Telephone | 5209092069 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wyatt Surgery Center | Doing Business As Name - Organization |
| Street Address |
2424 N WYATT DR STE 160 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-6115 |
| 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 | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417994831 | Catalina Surgery Center, LLC | Clinic/Center | 7508 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2006-06-02 |
| 1629524541 | The Cataract Vision Institute LLC | Clinic/Center | 2120 W Ina Rd, Suite 106, Tucson, AZ 85741-2694 | 2016-08-31 |
| 1427402817 | The Lasik Vision Institute LLC | Clinic/Center | 2120 W Ina Rd, Suite 106, Tucson, AZ 85741-2694 | 2016-04-21 |
| 1205023801 | Amro Habib Od LLC | Clinic/Center | 8280 N Cortaro Rd, Tucson, AZ 85743-9393 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992051 | Laveen Lasik and Total Eyecare, LLC | Clinic/Center | 7205 S 51st Ave Ste 201, Laveen, AZ 85339-7326 | 2020-11-04 |
| 1215983135 | Southwestern Eye Center Ltd | Clinic/Center | 1919 Florence Ave, Kingman, AZ 86401-4684 | 2006-05-25 |
| 1093324956 | Phoenician Eye Specialists | Clinic/Center | 15600 N Black Canyon Hwy # C-102, Phoenix, AZ 85053-4055 | 2020-07-27 |
| 1013481977 | Arizona Oculofacial Plastic Orbit and Cosmetic Surgery, LLC | Clinic/Center | 1055 S Stapley Dr, Mesa, AZ 85204-5013 | 2019-01-14 |
| 1295280741 | The Cataract Vision Institute LLC | Clinic/Center | 2929 E Camelback Rd, Suite 110, Phoenix, AZ 85016-4424 | 2016-08-24 |
| 1295973931 | Sonoran Desert Vision Center, PC | Clinic/Center | 10255 N 32nd St, Phoenix, AZ 85028-3851 | 2009-02-03 |
| 1831354414 | Southwestern Eye Center Ltd | Clinic/Center | 3003 Highway 95, Ste. 63, Bullhead City, AZ 86442-7860 | 2008-07-23 |
| 1487845764 | Arizona Institute of Eye Surgery LLC | Clinic/Center | 3192 Willow Creek Rd, Prescott, AZ 86301-6610 | 2007-08-05 |
| 1013021682 | Phoenix Eye Surgical Center Plc | Clinic/Center | 5133 N Central Ave, Suite 100, Phoenix, AZ 85012-1438 | 2006-08-19 |
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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.