Sierra Vista Diagnostics LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

9110 Issued in AZ

Legal business name

SIERRA VISTA DIAGNOSTICS LLC

Practice address

155 Calle Portal Ste 500
Sierra Vista, AZ 85635-2973

Phone

(520) 459-5227

Fax

(520) 459-2191

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven I. Walsh, M.D.

Title

Managing Partner

Phone

(520) 459-5227

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1104014257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CALLE PORTAL STE 500",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352973",
            "telephone_number": "520-459-5227",
            "fax_number": "520-459-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CALLE PORTAL STE 500",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352973",
            "telephone_number": "520-459-5227",
            "fax_number": "520-459-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "520-459-5227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "9110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255085001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD8752",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220575001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Therapy Solutions LLC
• Sierra Vista Anesthesia LLC
• Sierra Vista Chiropractic LLC
• Sierra Vista Chiropractic PLLC
• Sierra Vista Dental
• Sierra Vista Emergency Physicians
• Sierra Vista Endodontics P.C.
• Sierra Vista Eyecare P.C
• Sierra Vista Family Footcare PC
• Sierra Vista Fry Fire District

• Diagnostic Radiology Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.