Organization Active NPI

Sunbelt Occupational Health, LLC

Doing business as 10-4 Medical

  • Occupational Medicine Physician
  • Tucson, AZ
National Provider Identifier
1346828514
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
SUNBELT OCCUPATIONAL HEALTH, LLC
Doing business as
10-4 Medical
Practice address
1601 N Tucson Blvd Ste 40
Tucson, AZ 85716-3410
Phone
(520) 488-4808
Fax
(520) 207-6200
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Edward J Hudson
Title
Cfo, Coo
Phone
(520) 907-4817

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X Primary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1601 N Tucson Blvd Ste 40
Tucson, AZ 85716-3410

Mailing address

2850 N Country Club Rd
Tucson, AZ 85716-1910

Other names 1

  • 10-4 Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunbelt Medical Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1346828514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 40",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163410",
            "telephone_number": "520-488-4808",
            "fax_number": "520-207-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBELT OCCUPATIONAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO, COO",
        "authorized_official_telephone_number": "520-907-4817"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "10-4 Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 7, 2021; 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.