Rincon ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RINCON ASC, LLC

Practice address

10360 E. Drexel Road
Tucson, AZ 85747

Phone

(520) 861-9331

NPI assigned

Jul 29, 2021

Organization subpart

No

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

Authorized official

Name

Kathleen Burns

Title

Administrator

Phone

(520) 207-2546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Rincon ASC LLCCCN 03C0001474

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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

• Derrick Lynn Johnston, M.D.

  • Pediatric Urology Physician
  • Tucson, AZ
  • NPI 1184852709
  NPD (past)

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1275206880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10360 E DREXEL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479405",
            "telephone_number": "520-207-2546",
            "fax_number": "520-207-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10360 E. DREXEL ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85747",
            "telephone_number": "520-861-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINCON ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-207-2546"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rillito Crossing Dental PC
• Rillito River Healthcare, Inc.
• Julie Rimkus, LPC
• Lauren Rimsza, PHARMD
• Robert Rimsza, RPH
• Rincon Chiropractic Associates
• Rincon High School
• Rincon Orthopedic Associates PC
• Rincon Recovery, LLC
• Rincon Surgical First Assists, LLC

• 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 May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.