Premier Surgery Center of Tucson

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSC4349 Issued in AZ

Legal business name

PREMIER SURGERY CENTER OF TUCSON

Practice address

310 N. Wilmot Rd.
#309
Tucson, AZ 85711

Phone

(520) 296-7080

Fax

(520) 290-8350

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Sylvain Sidi, MD

Title

Chairman of the Board

Phone

(520) 296-7080

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Premier Surgery Center of Tucson LP Doing business as

Locations

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1316909633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N. WILMOT RD.",
            "address_2": "#309",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-296-7080",
            "fax_number": "520-290-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N. WILMOT RD.",
            "address_2": "#309",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-296-7080",
            "fax_number": "520-290-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGERY CENTER OF TUCSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "SIDI",
        "authorized_official_first_name": "SYLVAIN",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "520-296-7080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC4349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "643793",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Surgery Center of Tucson LP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cloe Premeau
• Premier First Assist, LLC
• Premier HHC Agency LLC
• Premier Home Care of Southern Arizona, Inc.
• Premier Pediatrics LLC
• Premier Surgical Assisting LLC
• Premier Transport Services LLC
• Premier Transport Services LLC
• Premier Wound RX LLC
• Premise Health of Arizona Medical PC

• 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 Jan 6, 2009; 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.