Active NPI
Cushing Street Family Practice PC
- Medical Physician Assistant
- Tucson, AZ
National Provider Identifier
1689611956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1372
- Legal business name
- CUSHING STREET FAMILY PRACTICE PC
- Practice address
- 58 W Cushing St
Tucson, AZ 85701-2218 - Phone
- (520) 620-0705
- Fax
- (520) 620-0745
- NPI assigned
- Jun 2, 2006
- Last updated
- Feb 20, 2015
- 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
- Ricci Silberman, PA-C
- Title
- President
- Phone
- (520) 620-0705
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1572 | AZ | |
| Medical Physician Assistant | 363AM0700X | 1372 | AZ | Primary |
Addresses
Primary practice location
58 W Cushing St
Tucson, AZ 85701-2218
Mailing address
58 W Cushing St
Tucson, AZ 85701-2218
Phone (520) 620-0705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 853392 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
58 W Cushing St
Tucson, AZ 85701
Phone (520) 620-0705
Practitioners & affiliated clinicians
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.
-
- Medical Physician Assistant
- Tucson, AZ
- NPI 1871502989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424390400000",
"number": "1689611956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 W CUSHING ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857012218",
"telephone_number": "520-620-0705",
"fax_number": "520-620-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 W CUSHING ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857012218",
"telephone_number": "520-620-0705",
"fax_number": "520-620-0745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSHING STREET FAMILY PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2015-02-20",
"status": "A",
"authorized_official_last_name": "SILBERMAN",
"authorized_official_first_name": "RICCI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "520-620-0705",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "1572",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "1372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "853392",
"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 Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.