NPIMap

Organization Active NPI

Southern Arizona Urogynecology Center PLLC

  • Gynecology Physician
  • Tucson, AZ
National Provider Identifier
1629007729
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
11111 Issued in AZ
Legal business name
SOUTHERN ARIZONA UROGYNECOLOGY CENTER PLLC
Practice address
6296 E Grant Rd
Suite 130
Tucson, AZ 85712-5833
Phone
(520) 795-9300
Fax
(520) 795-9305
NPI assigned
Jul 1, 2006
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
Earl A Surwit, M.D.
Title
Owner Provider
Phone
(520) 795-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 11111 AZ Primary

Addresses

Primary practice location

6296 E Grant Rd
Suite 130
Tucson, AZ 85712-5833

Mailing address

6296 E Grant Rd
Suite 130
Tucson, AZ 85712-5833
Phone (520) 795-9300

National Provider Directory

National Provider Directory

Locations

2141 N Beverly Ave
Tucson, AZ 85712
Phone (520) 795-9300

6296 E Grant Rd
Ste 130
Tucson, AZ 85712
Phone (520) 326-7633

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629007729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6296 E GRANT RD",
            "address_2": "SUITE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125833",
            "telephone_number": "520-795-9300",
            "fax_number": "520-795-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6296 E GRANT RD",
            "address_2": "SUITE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125833",
            "telephone_number": "520-795-9300",
            "fax_number": "520-795-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ARIZONA UROGYNECOLOGY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SURWIT",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "520-795-9300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "11111",
            "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.