Active NPI
SMSJ Tucson Holdings, LLC
Doing business as Medical Mall at Rita Ranch
- Diagnostic Radiology Physician
- Tucson, AZ
National Provider Identifier
1659731057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SMSJ TUCSON HOLDINGS, LLC
- Doing business as
- Medical Mall at Rita Ranch
- Practice address
- 8290 S Houghton Rd
Tucson, AZ 85747-9723 - Phone
- (520) 872-3100
- NPI assigned
- Feb 26, 2016
- Last updated
- May 3, 2022
- 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
- Cristian Cormier
- Title
- Cfo
- Phone
- (915) 747-2634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
8290 S Houghton Rd
Tucson, AZ 85747-9723
Mailing address
395 N Silverbell Rd
Suite 185
Tucson, AZ 85745-2675
Phone (520) 609-2509
Other names 1
- Medical Mall at Rita Ranch
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Mercy Gilbert Medical Center
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651536000000",
"number": "1659731057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 N SILVERBELL RD",
"address_2": "SUITE 185",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452675",
"telephone_number": "520-609-2509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8290 S HOUGHTON RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857479723",
"telephone_number": "520-872-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMSJ TUCSON HOLDINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-26",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A",
"authorized_official_last_name": "CORMIER",
"authorized_official_first_name": "CRISTIAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "915-747-2634"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Mall at Rita Ranch",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Medical Mall at Rita Ranch",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
- SMSJ Tucson Holdings LLC (St. Josephs Hospital)
- SMSJ Tucson Holdings LLC (Carondelet St Raphaels Emergency Center)
- SMSJ Tucson Holdings, LLC (St. Mary's Hospital Imaging Center-Central)
- SMSJ Tucson Holdings, LLC (Carondelet Marana Hospital)
- SMSJ Tucson Holdings, LLC (St. Mary's Hospital River Stone Imaging Center)
- Stephen H Smyth, MD
- Scott B Smythe, MD
- Jillian Snare, DMD
- Talitha Joelle Snedigar, CCC-SLP
- Gregory E Sneep, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.