SMSJ Tucson Holdings, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SMSJ TUCSON HOLDINGS, LLC

Doing business as

St. Mary's Hospital Medical Mall at Green Valley

Practice address

400 W Camino Casa Verde
Suite 200
Green Valley, AZ 85614-3564

Phone

(520) 872-4555

NPI assigned

Feb 26, 2016

Last updated

May 3, 2022By 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

Cristian Cormier

Title

Cfo

Phone

(915) 747-2634

Specialties & licenses 1

Addresses

Other names 1

• St. Mary's Hospital Medical Mall at Green Valley Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dignity Health

  dba Mercy Gilbert Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088

  Member Of

  NPD member

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1487014882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD",
            "address_2": "SUITE 185",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452675",
            "telephone_number": "520-609-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CAMINO CASA VERDE",
            "address_2": "SUITE 200",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143564",
            "telephone_number": "520-872-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMSJ TUCSON HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "CORMIER",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "915-747-2634"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Mary's Hospital Medical Mall at Green Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Mary's Hospital Medical Mall at Green Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald R Smith, MD
• Erica Anne Smith, PA
• Monica Smith
• Rebecca Jean Smith, M.ED.
• SMSJ Imaging Company LLC
• SND Scooters LLC
• Patricia F Snow, PHARM. D.
• Felicia D Solis-Cummings
• Sonora Quest Laboratories LLC (Sonora Quest Laboratories)
• Sonrisas Dental LLC (Legacy Smiles of Southern Arizona)

• Diagnostic Radiology Physician in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.