Cucchetti Orthopedics and Sports Medicine

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

005722 Issued in AZ

Legal business name

CUCCHETTI ORTHOPEDICS AND SPORTS MEDICINE

Practice address

4440 N 36TH St
Suite 100
Phoenix, AZ 85018-3588

Phone

(602) 952-8111

Fax

(602) 952-1572

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Kim Holliday, RN

Title

Administrator

Phone

(480) 330-3851

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brad Allen Cucchetti, D.O.

  • Orthopaedic Surgery Physician
  • Temple Terrace, FL
  • NPI 1396702353

  AZ

  Medicare reassignment NPD

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1255734919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 N 36TH ST",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183588",
            "telephone_number": "602-952-8111",
            "fax_number": "602-952-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 N 36TH ST",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183588",
            "telephone_number": "602-952-8111",
            "fax_number": "602-952-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUCCHETTI ORTHOPEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-330-3851",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "005722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Csanyi
• Cthvamc
• Daisy Marilu Cuadra
• Elka Mushka Cubacub, MSW
• Regine Cubbage
• Heather Anne Cucchetti, D.O.
• Reggie Cucuta Colon
• Christina J Cudzewicz, PA-C
• Caleigh Cuellar, MED, LBA, BCBA
• Nicholas Alexander Cuellar

• Sports Medicine (Orthopaedic Surgery) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.