Organization Active NPI

Bor Surgical First Assist PLLC

  • Registered Nurse
  • Tucson, AZ
National Provider Identifier
1467169474
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
BOR SURGICAL FIRST ASSIST PLLC
Practice address
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone
(520) 327-5461
NPI assigned
Oct 31, 2022
Organization subpart
Yes
Parent organization
BOR SURGICAL FIRST ASSIST PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Mrs. Barbara M Ortega-Rutherford, RNNPI 1366196776
Title
RN
Phone
(520) 444-2753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

5301 E Grant Rd
Tucson, AZ 85712-2805

Mailing address

10582 E Ralph Alvarez PL
Tucson, AZ 85747-5885
Phone (520) 444-2753

Other practice location 1

2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone (520) 543-6100

Other names 1

  • BOR Surgical First Assist PLLC Doing business as

National Provider Directory

National Provider Directory
Part of
Bor Surgical First Assist PLLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1467169474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10582 E RALPH ALVAREZ PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475885",
            "telephone_number": "520-444-2753",
            "fax_number": "520-296-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122805",
            "telephone_number": "520-327-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 S Houghton Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857487632",
            "country_code": "US",
            "telephone_number": "520-543-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOR SURGICAL FIRST ASSIST PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOR SURGICAL FIRST ASSIST PLLC",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "ORTEGA-RUTHERFORD",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "520-444-2753",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOR Surgical First Assist PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BOR Surgical First Assist PLLC",
            "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 Dec 1, 2022; 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.