Organization Active NPI

Innovation Medical PLLC

  • Primary Care Clinic/Center
  • Tucson, AZ
National Provider Identifier
1205526837
Registry record updated May 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INNOVATION MEDICAL PLLC
Practice address
6450 N Swan Rd Ste 120
Tucson, AZ 85718-3656
Phone
(520) 260-1181
Fax
(520) 366-3198
NPI assigned
May 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2025

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

Authorized official

Name
Crysty Frick, NP
Title
Owner
Phone
(520) 780-2533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6450 N Swan Rd Ste 120
Tucson, AZ 85718-3656

Mailing address

5335 W Avenida Tierra Alta
Tucson, AZ 85742-4194
Phone (520) 780-2533

National Provider Directory

National Provider Directory

Locations

7070 N Oracle Rd
Tucson, AZ 85704
Phone (520) 544-2300

8567 N Silverbell Rd
Ste 211
Tucson, AZ 85743
Phone (520) 682-9079

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746921600000",
    "number": "1205526837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 W AVENIDA TIERRA ALTA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424194",
            "telephone_number": "520-780-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 N SWAN RD STE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183656",
            "telephone_number": "520-260-1181",
            "fax_number": "520-366-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-05-11",
        "certification_date": "2025-05-11",
        "status": "A",
        "authorized_official_last_name": "FRICK",
        "authorized_official_first_name": "CRYSTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-780-2533",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 11, 2025; 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.