Organization Active NPI

Alpha Surgical Assist, LLC

  • Surgical Technologist
  • Tucson, AZ
National Provider Identifier
1487799144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Legal business name
ALPHA SURGICAL ASSIST, LLC
Practice address
4015 N Fremont Ave
Tucson, AZ 85719-1065
Phone
(520) 861-0481
Fax
(520) 696-1718
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert G. Bush, CFA
Title
Certified First Assistant
Phone
(520) 861-0481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X Primary

Addresses

Primary practice location

4015 N Fremont Ave
Tucson, AZ 85719-1065

Mailing address

PO Box 64087
Tucson, AZ 85728-4087
Phone (520) 861-0481

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487799144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64087",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857284087",
            "telephone_number": "520-861-0481",
            "fax_number": "520-696-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 N FREMONT AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191065",
            "telephone_number": "520-861-0481",
            "fax_number": "520-696-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA SURGICAL ASSIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CERTIFIED FIRST ASSISTANT",
        "authorized_official_telephone_number": "520-861-0481",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.