Organization Active NPI

Tucson Pain Physicians, LLC

  • Interventional Pain Medicine Physician
  • Tucson, AZ
National Provider Identifier
1093043457
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
TUCSON PAIN PHYSICIANS, LLC
Practice address
6080 N la Cholla Blvd
Suite 100
Tucson, AZ 85741-3555
Phone
(520) 292-2723
Fax
(623) 486-1529
NPI assigned
Nov 24, 2009
Last updated
Jan 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Ms. Cynthia D Gollihar
Title
Manager
Phone
(623) 486-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

6080 N la Cholla Blvd
Suite 100
Tucson, AZ 85741-3555

Mailing address

14100 N 83Rd Ave
Suite 260
Peoria, AZ 85381-5658
Phone (623) 486-1510

Other identifiers 1

IdentifierTypeStateIssuer
Z142913OtherAZPTAN

National Provider Directory

National Provider Directory

Locations

1925 W Orange Grove Rd
Tucson, AZ 85704
Phone (520) 428-4769

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1093043457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 N 83RD AVE",
            "address_2": "SUITE 260",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815658",
            "telephone_number": "623-486-1510",
            "fax_number": "623-486-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 N LA CHOLLA BLVD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413555",
            "telephone_number": "520-292-2723",
            "fax_number": "623-486-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON PAIN PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "GOLLIHAR",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-486-1510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z142913",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 10, 2012; 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.