Organization Active NPI

Arizona Community Surgeons PC

  • Orthopaedic Surgery Physician
  • Tucson, AZ
National Provider Identifier
1003074758
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ARIZONA COMMUNITY SURGEONS PC
Practice address
6567 E Carondelet Dr
Suite 415
Tucson, AZ 85710-2156
Phone
(520) 885-6701
Fax
(520) 885-9037
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
J Ronald Devries
Title
Practice Manager
Phone
(520) 382-9246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

6567 E Carondelet Dr
Suite 415
Tucson, AZ 85710-2156

Mailing address

PO Box 13627
Tucson, AZ 85732-3627
Phone (520) 750-7160

Other identifiers 1

IdentifierTypeStateIssuer
230658OtherAZAHCCCS

Other names 1

  • Southern Arizona Orthopedics Doing business as

National Provider Directory

National Provider Directory

Locations

6567 E Carondelet Dr
Ste 415
Tucson, AZ 85710
Phone (520) 885-6701

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1003074758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13627",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857323627",
            "telephone_number": "520-750-7160",
            "fax_number": "520-886-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR",
            "address_2": "SUITE 415",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102156",
            "telephone_number": "520-885-6701",
            "fax_number": "520-885-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA COMMUNITY SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "520-382-9246"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "230658",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Arizona Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.