Active NPI
Rincon Surgical First Assists, LLC
- Registered Nurse First Assistant
- Tucson, AZ
National Provider Identifier
1528300423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN143598
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851673128 | Other | AZ | PERSONAL NPI |
National Provider Directory
National Provider DirectoryNPI 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.