Desert Sky Spine & Sports Medicine PC

Primary specialty

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

Legal business name

DESERT SKY SPINE & SPORTS MEDICINE PC

Practice address

2530 E Wilcox Dr
Sierra Vista, AZ 85635-2843

Phone

(520) 229-2080

Fax

(520) 229-2092

NPI assigned

Apr 1, 2021

Last updated

Apr 1, 2021By 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

Thomas A Coury, DONPI 1386802072

Title

President

Phone

(520) 229-2080

Specialties & licenses 1

Addresses

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
  • Tucson, AZ
  • NPI 1316258361

  6204952153

  Same PAC ID

Locations

Practitioners 2

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
  Authorized official Same address or phone
• Steven Michael Luzader Prust, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Tucson, AZ
  • NPI 1497192702
  NPD

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1407434160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E TANGERINE RD STE 201",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556218",
            "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": "2530 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352843",
            "telephone_number": "520-229-2080",
            "fax_number": "520-229-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SKY SPINE & SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "COURY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-229-2080",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Cardiovascular Group LTD
• Desert Pain and Rehab Specialists, PLLC
• Desert Rehab LLC
• Desert Rose Neurology
• Desert Rose Sober Living
• Desert Vista Orthodontics, LLC
• Amy Louise Devine
• Mohamad Omar Zakaria Diab, MD
• Breanne Dickenson, RDH
• Susan Karen Dobis, REGISTERED NURSE

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Sierra Vista, AZ
• Providers in Sierra Vista, 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 Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.