RANDALL S. PRUST MD PC (NPI# 1821652686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821652686 |
| Entity Type | Organization |
| Organization Name | RANDALL S. PRUST MD PC |
| Practice Address |
6060 N Fountain Plaza Dr Ste 170 Tucson AZ 85704-7875 |
| Mailing Address |
4747 E Camp Lowell Dr Tucson AZ 85712-1256 |
| Practice Telephone | 5207315540 |
| Mailing Telephone | 5207315540 |
| Mailing Fax Number | 5207315541 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |
| Authorized Official Name | RANDALL S. PRUST (PRESIDENT) |
| Authorized Official Telephone | 5207315540 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Rincon Pain and Spine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114924354 | Randall S. Prust Md PC | Anesthesiology | 4747 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2005-07-01 |
| Street Address |
6060 N FOUNTAIN PLAZA DR STE 170 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85704-7875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
| 1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
| 1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
| 1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
| 1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
| 1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
| Find all providers in zip 85704 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1093043457 | Tucson Pain Physicians, LLC | Pain Medicine | 6080 N La Cholla Blvd, Suite 100, Tucson, AZ 85741-3555 | 2009-11-24 |
| 1073891081 | Peter R. Bodnar, M.d. Pllc | Pain Medicine | 6544 E Carondelet Dr, Tucson, AZ 85710-2117 | 2011-07-25 |
| 1316252315 | Stephen Allen Shiller | Pain Medicine | 1501 N. Campbell Ave., Tucson, AZ 85724 | 2010-08-13 |
| 1669783064 | William Ross | Pain Medicine | 4747 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2010-06-30 |
| 1669588158 | Neurological Associates of Tucson | Pain Medicine | 2450 E River Rd, Tucson, AZ 85718-6522 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842485 | Southwest Pain Solutions, LLC | Pain Medicine | 6401 E Caron Dr, Paradise Valley, AZ 85253-1862 | 2020-05-08 |
| 1801422209 | Akg Medical Consulting Pllc | Pain Medicine | 7425 E Shea Blvd # 14, Scottsdale, AZ 85260-6411 | 2020-03-17 |
| 1861964686 | Choice Pain Solutions Treatment Center | Pain Medicine | 10565 N Tatum Blvd Ste B115, Paradise Valley, AZ 85253-1095 | 2018-12-18 |
| 1679070379 | Dessert Ridge Professional LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2018-04-09 |
| 1982124582 | Phoenix Pain Treatment Centers, Pllc | Pain Medicine | 9140 W Thomas Rd Ste B-106, Phoenix, AZ 85037-3378 | 2017-06-23 |
| 1538699491 | Jtm Healthcarellc | Pain Medicine | 12049 W Indian School Road, Suite B210, Avondale, AZ 85392-9505 | 2017-06-14 |
| 1568909562 | T&d Health LLC | Pain Medicine | 30099 N 129th Dr, Peoria, AZ 85383-5267 | 2017-01-27 |
| 1205292315 | Advanced Back and Neck, LLC | Pain Medicine | 1055 W Queen Creek Rd Ste 3, Chandler, AZ 85248-8134 | 2016-01-05 |
| 1831535350 | Ankit Patel | Pain Medicine | 1641 E Osborn Rd Ste 6, Phoenix, AZ 85016-7146 | 2013-05-13 |
| 1265745103 | Tomar Pain Centers II, Pllc | Pain Medicine | 919 12th Pl Ste 12b, Prescott, AZ 86305-1433 | 2010-07-20 |
| Find all providers with the same taxonomy | ||||
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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.