Desert Sky Spine & Sports Medicine PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

005226 Issued in AZ

Legal business name

DESERT SKY SPINE & SPORTS MEDICINE PC

Practice address

6585 N Oracle Rd
Tucson, AZ 85704-5614

Phone

(520) 229-2080

Fax

(520) 229-2092

NPI assigned

Jun 24, 2010

Last updated

Dec 29, 2023By 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

Dr. Thomas Anthony Coury II, D.O.NPI 1386802072

Title

President/ Owner/ Ceo

Phone

(520) 229-2080

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Desert Sky Spine & Sports Medicine PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sierra Vista, AZ
  • NPI 1407434160

  6204952153

  Same PAC ID

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7527/brand/1/csg/1/fhir/r4

Practitioners 11

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.

• Thomas A Coury II, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
  • NPI 1386802072
  Medicare reassignment Care Compare group Authorized official
• Maureen Rita Bay, CNP

  • Family Nurse Practitioner
  • Sierra Vista, AZ
  • NPI 1184276040
  Medicare reassignment Care Compare group NPD
• Khushvant Bhola, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Tucson, AZ
  • NPI 1265438220
  Medicare reassignment Care Compare group NPD
• Candice Kay Felix, NP-C

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1922873512
  Medicare reassignment Care Compare group NPD
• Kenneth H. Judkins II, PA-C

  • Physician Assistant
  • Tucson, AZ
  • NPI 1538165477
  Medicare reassignment Care Compare group NPD
• Steven Michael Luzader Prust, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Tucson, AZ
  • NPI 1497192702
  Medicare reassignment Care Compare group NPD
• Jared Wilson, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tucson, AZ
  • NPI 1922532977
  Medicare reassignment Care Compare group NPD
• Kyle White, FNP-C

  • Family Nurse Practitioner
  • Sierra Vista, AZ
  • NPI 1497293328
  Medicare reassignment Care Compare group
• Judith M Stannard, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Tucson, AZ
  • NPI 1568460566
  Medicare reassignment NPD
• Danielle Lannae Germany, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1902744964
  Medicare reassignment
• Meryl Marie Ortiz, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1376112672
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1316258361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045614",
            "telephone_number": "520-229-2080",
            "fax_number": "520-229-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045614",
            "telephone_number": "520-229-2080",
            "fax_number": "520-229-2092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2530 E Wilcox Dr",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856352843",
            "country_code": "US",
            "telephone_number": "520-229-2080",
            "fax_number": "520-229-2092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1241 N Wilmot Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857125154",
            "country_code": "US",
            "telephone_number": "520-229-2080",
            "fax_number": "520-229-2092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT SKY SPINE & SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "COURY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER/ CEO",
        "authorized_official_telephone_number": "520-229-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "005226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "534887",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desert Sage Behavioral Health, PLC
• Desert Shen LLC
• Desert Sky Community School
• Desert Sky Healthcare, Inc. (Caring Senior Service of Tucson)
• Desert Sky Medical Supply, LLC
• Desert Sleep Solutions LLC
• Desert Speech Therapy LLC
• Desert Springs Family Dentistry P.C.
• Desert Star Arc
• Desert Sun Surgery Center LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.