Individual provider Active NPI

Rebecca Gene Mosburg, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1114069382
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4469 Issued in AZ
Practice address
1773 W Saint Marys Rd
Ste 102
Tucson, AZ 85745-2654
Phone
(520) 624-2194
NPI assigned
Feb 13, 2007
Last updated
Nov 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002458 VA
Physician Assistant 363A00000X 4469 AZ Primary

Addresses

Primary practice location

1773 W Saint Marys Rd
Ste 102
Tucson, AZ 85745-2654

Mailing address

1773 W Saint Marys Rd
Ste 102
Tucson, AZ 85745-2654
Phone (520) 624-2194

Other names 1

  • Rebecca Gene Hutchens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4469AZMDPhysician Assistant
0110002458VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Gastroenterology PLLC PastSince Jul 15, 2024 Accepting new patients

Interoperability endpoints

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1114069382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 W SAINT MARYS RD",
            "address_2": "STE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452654",
            "telephone_number": "520-624-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 W SAINT MARYS RD",
            "address_2": "STE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452654",
            "telephone_number": "520-624-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBURG",
        "first_name": "REBECCA",
        "middle_name": "GENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002458",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "HUTCHENS",
            "middle_name": "GENE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 16, 2009; 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.