Tucson Pain Treatment Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

41804 Issued in AZ

Legal business name

TUCSON PAIN TREATMENT CENTER, LLC

Practice address

6252 E Grant Rd
Suite 100
Tucson, AZ 85712-5803

Phone

(520) 886-7246

Fax

(520) 901-2929

NPI assigned

May 29, 2015

Last updated

May 29, 2015By 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

Dr. Charles R Stevens, M.D.

Title

Owner / President

Phone

(520) 886-7246

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1720467236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6252 E GRANT RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125803",
            "telephone_number": "520-886-7246",
            "fax_number": "520-901-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6252 E GRANT RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125803",
            "telephone_number": "520-886-7246",
            "fax_number": "520-901-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON PAIN TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "520-886-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "41804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tucson Orthotics & Prosthetics, LLC
• Tucson Outpatient Psychiatry, PLLC
• Tucson Outpatient Psychiatry, PLLC
• Tucson Outpatient Surgery Center
• Tucson Pain Physicians, LLC
• Tucson Pathology Associates P.C.
• Tucson Pathology Associates, P.C.
• Tucson Pathology Associates, P.C.
• Tucson Physcial Therapy, PC
• Tucson Physical Therapy, PC

• Ambulatory Surgical Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.