Ironwood Gastroenterology PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

27577 Issued in AZ

Legal business name

IRONWOOD GASTROENTEROLOGY PLLC

Practice address

395 N Silverbell Rd Ste 265
Tucson, AZ 85745-2714

Phone

(520) 724-0559

Fax

(520) 220-5115

NPI assigned

Apr 16, 2007

Last updated

Sep 16, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rizwan Safdar, MDNPI 1982651857

Title

Owner

Phone

(520) 722-3777

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Interoperability endpoints

• FHIR API: https://85960b8f-59a7-4154-9810-948857ce9f19.gastro.prod.fhir.ema-api.com/fhir/r4/

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rizwan Safdar, M.D.

  • Gastroenterology Physician
  • Tucson, AZ
  • NPI 1982651857
  Medicare reassignment Care Compare group Authorized official
• Elyse Hammett, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1831103159
  Medicare reassignment Care Compare group
• Armando Gonzalez, MD

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1003827692
  NPD
• Mario Ulises Angulo, PA-C

  • Physician Assistant
  • Tucson, AZ
  • NPI 1376911263
  NPD (past)
• Nicole R Caniglia, PA

  • Physician Assistant
  • Tucson, AZ
  • NPI 1821247529
  NPD (past)
• Rebecca Gene Mosburg, PA-C

  • Physician Assistant
  • Tucson, AZ
  • NPI 1114069382
  NPD (past)
• Jay K. Park, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1558359778
  NPD (past)
• Juan G Pena, MD

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1255359238
  NPD (past)
• Shannon Christine Sealey, F.N.P.

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1437200979
  NPD (past)
• Jackie Armijo, FNP

  • Nurse Practitioner
  • Henderson, NV
  • NPI 1851465934
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1003031931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333100",
            "telephone_number": "520-724-0559",
            "fax_number": "520-220-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD STE 265",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452714",
            "telephone_number": "520-724-0559",
            "fax_number": "520-220-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONWOOD GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "SAFDAR",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-722-3777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "27577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274981",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kashif Mujibi Iqbal, MD
• Rodney James Ireland
• Ivan Emmanuel Irizarry III, PHD, LPC, NCC
• Iron Mountain Iup, LLC
• Ironwood Dermatology, PC
• Ironwood Health LLC
• Ironwood OB/GYN, P C
• Thelma Iruegas
• Irvin S. Belzer MD
• Irvin S. Belzer MD PC

• Gastroenterology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.