NPIMap

Organization Active NPI

Schuk Toak District Office

  • Public Health or Welfare Agency
  • San Isidro, AZ
National Provider Identifier
1124101779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SCHUK TOAK DISTRICT OFFICE
Practice address
Hwy 86, Milepost 127
San Isidro, AZ 85634
Phone
(520) 295-2503
Fax
(520) 295-2676
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Priscilla Whitethorne
Title
Service Center Director
Phone
(520) 295-2503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

Hwy 86, Milepost 127
San Isidro, AZ 85634

Mailing address

7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone (520) 295-2503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050301000125 TX Part B Supplier - Clinic/Group Practice 5092768663 Receives reassigned benefits from 353 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sells, AZ

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124101779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 S J STOCK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467012",
            "telephone_number": "520-295-2503",
            "fax_number": "520-295-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 86, MILEPOST 127",
            "city": "SAN ISIDRO",
            "state": "AZ",
            "postal_code": "85634",
            "telephone_number": "520-295-2503",
            "fax_number": "520-295-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUK TOAK DISTRICT OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITETHORNE",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "SERVICE CENTER DIRECTOR",
        "authorized_official_telephone_number": "520-295-2503"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.