Active NPI
Stephen Stanley Kaczynski, D.O.
- Anesthesiology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4570
- Practice address
- 3390 N Campbell Ave
Ste 110
Tucson, AZ 85719-2380 - Phone
- (520) 795-7650
- Fax
- (520) 325-1622
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 02002289A | IN | |
| Anesthesiology Physician | 207L00000X | 4570 | AZ | Primary |
Addresses
Primary practice location
3390 N Campbell Ave
Ste 110
Tucson, AZ 85719-2380
Mailing address
3390 N Campbell Ave
Ste 110
Tucson, AZ 85719-2380
Phone (520) 795-7650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3390 N Campbell Ave
Suite 110
Tucson, AZ 85719-2380
Phone (520) 795-7650
Hospital & facility affiliations
- St Joseph'S Hospital
- Tucson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002289A | IN | MD | Anesthesiology Physician |
| 4570 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Arizona - Nogales | Anesthesiology | Current | Accepting new patients |
| Southern Arizona Anesthesia Services, PC | Anesthesiology | Current | Accepting new patients |
Locations
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
3390 N Campbell Ave
Ste 110
Tucson, AZ 85719
Phone (520) 784-2243
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
5755 S Houghton Rd
Tucson, AZ 85747
Phone (520) 324-1727
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1912999343
-
- Certified Registered Nurse Anesthetist
- Tucson, AZ
- NPI 1487251799
Anesthesiology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1538535158
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193443200000",
"number": "1508811571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 N CAMPBELL AVE",
"address_2": "STE 110",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857192380",
"telephone_number": "520-795-7650",
"fax_number": "520-325-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 N CAMPBELL AVE",
"address_2": "STE 110",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857192380",
"telephone_number": "520-795-7650",
"fax_number": "520-325-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACZYNSKI",
"first_name": "STEPHEN",
"middle_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2007-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "02002289A",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "4570",
"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 Oct 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.