NPIMap

Organization Active NPI

Emergency Surgical Services of Arizona, PLLC

  • Surgery Physician
  • Tucson, AZ
National Provider Identifier
1487690954
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
EMERGENCY SURGICAL SERVICES OF ARIZONA, PLLC
Practice address
6300 E El Dorado PLZ
Ste A220
Tucson, AZ 85715-4612
Phone
(520) 750-7162
Fax
(520) 886-1929
NPI assigned
Jun 21, 2006
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Ms. Connie B Choza
Title
Ceo
Phone
(520) 750-7162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

6300 E El Dorado PLZ
Ste A220
Tucson, AZ 85715-4612

Mailing address

PO Box 16488
Tucson, AZ 85732-6488
Phone (520) 750-7162

Other identifiers 1

IdentifierTypeStateIssuer
078420MedicaidAZ

National Provider Directory

National Provider Directory

Member of 2

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

Locations

6300 E El Dorado Plz
Ste A220
Tucson, AZ 85715
Phone (520) 750-7162

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1487690954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16488",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857326488",
            "telephone_number": "520-750-7162",
            "fax_number": "520-886-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 E EL DORADO PLZ",
            "address_2": "STE A220",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154612",
            "telephone_number": "520-750-7162",
            "fax_number": "520-886-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY SURGICAL SERVICES OF ARIZONA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "CHOZA",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-750-7162",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078420",
            "state": "AZ"
        }
    ],
    "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 18, 2014; 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.