Organization Active NPI

Rincon Surgical First Assists, LLC

  • Registered Nurse First Assistant
  • Tucson, AZ
National Provider Identifier
1528300423
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN143598 Issued in AZ
Legal business name
RINCON SURGICAL FIRST ASSISTS, LLC
Practice address
5433 E 8TH St
Tucson, AZ 85711-3108
Phone
(520) 940-4483
NPI assigned
Mar 19, 2013
Last updated
Mar 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Andrew Peckham, RNFA
Title
Sole Proprieter
Phone
(520) 940-4483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN143598 AZ Primary

Addresses

Primary practice location

5433 E 8TH St
Tucson, AZ 85711-3108

Mailing address

PO Box 14302
Tucson, AZ 85732-4302
Phone (520) 940-4483

Other identifiers 1

IdentifierTypeStateIssuer
1851673128OtherAZPERSONAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1528300423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14302",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857324302",
            "telephone_number": "520-940-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 E 8TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113108",
            "telephone_number": "520-940-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINCON SURGICAL FIRST ASSISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "PECKHAM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "520-940-4483",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN143598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1851673128",
            "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 Mar 19, 2013; 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.