Dr Bassel Kisso PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DR BASSEL KISSO PC

Practice address

1505 N Swan Rd Ste 121
Tucson, AZ 85712-4044

Phone

(520) 795-3090

Fax

(520) 795-3537

NPI assigned

Apr 21, 2020

Last updated

Apr 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bassel Kisso, MDNPI 1093918302

Title

President

Phone

(520) 795-3090

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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.

• Bassel Kisso, MD

  • Gastroenterology Physician
  • Tucson, AZ
  • NPI 1093918302
  Authorized official Same address or phone

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1538789482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N SWAN RD STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124044",
            "telephone_number": "520-795-3090",
            "fax_number": "520-795-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N SWAN RD STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124044",
            "telephone_number": "520-795-3090",
            "fax_number": "520-795-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BASSEL KISSO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "KISSO",
        "authorized_official_first_name": "BASSEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-795-3090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227902",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SWANGASTRO.COM",
            "affiliation": "N",
            "address_1": "1505 N Swan Rd Ste 121",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857124044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dr. Andrea Roemer, Podiatry, Inc.
• Dr. Bob Brooks & Associates, Optometrists, PLLC

• Gastroenterology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.