Organization Active NPI

Cushing Street Family Practice PC

  • Medical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1689611956
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1372 Issued in AZ
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Ricci Silberman, PA-CNPI 1871502989
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)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 1572 AZ
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
853392MedicaidAZ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.