Organization Active NPI

University of Arizona

  • General Acute Care Hospital
  • Tucson, AZ
National Provider Identifier
1336346790
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
80821 Issued in AZ
Legal business name
UNIVERSITY OF ARIZONA
Practice address
707 North Alvernon Way
Suite 205
Tucson, AZ 85711
Phone
(520) 694-1611
Fax
(520) 694-1640
NPI assigned
Jun 29, 2007
Last updated
Feb 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Dr. Jessie Marie Pettit, MD
Title
Resident
Phone
(401) 487-4216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 80821 AZ Primary

Addresses

Primary practice location

707 North Alvernon Way
Suite 205
Tucson, AZ 85711

Mailing address

6181 E Sunny Drive
Tucson, AZ 85712

National Provider Directory

National Provider Directory

Locations

707 N Alvernon Way
Ste 205
Tucson, AZ 85711
Phone (520) 694-8000

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1336346790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6181 E SUNNY DRIVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 NORTH ALVERNON WAY",
            "address_2": "SUITE 205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-694-1611",
            "fax_number": "520-694-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "401-487-4216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "80821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.