Adobe Surgery Center, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSC3020 Issued in AZ

Legal business name

ADOBE SURGERY CENTER, PC

Practice address

2585 N Wyatt Dr
Tucson, AZ 85712-6104

Phone

(520) 721-2728

Fax

(520) 721-0179

NPI assigned

Sep 16, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam Moussa, MDNPI 1396730180

Title

President

Phone

(520) 721-2728

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

Adobe Surgery Center PCCCN 03C0001078

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Sam Moussa

  • Specialist
  • Tucson, AZ
  • NPI 1396730180
  Authorized official Same address or phone

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205821097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 N WYATT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126104",
            "telephone_number": "520-721-2728",
            "fax_number": "520-721-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 N WYATT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126104",
            "telephone_number": "520-721-2728",
            "fax_number": "520-721-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOBE SURGERY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOUSSA",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-721-2728",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC3020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543456",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adobe First Assist Services, LLC
• Adobe Gastroenterology, PC
• Adobe Hearing Center, Inc.
• Adobe Home Health Care, Inc.
• Adobe Pathology LLC
• Fadi Adra, M.D.,
• Bahbak Adrangi, MD
• Adrian Valle MD PLLC
• Dusit Adstamongkonkul, M.D.
• Adult and Geriatric Services of Arizona

• Ambulatory Surgical Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• 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 Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.