Southwest Urology Specialists LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SOUTHWEST UROLOGY SPECIALISTS LLC

Practice address

6567 E Carondelet Dr Ste 425
Tucson, AZ 85710-6157

Phone

(520) 447-8892

Fax

(520) 447-8893

NPI assigned

Oct 27, 2021

Organization subpart

No

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

Authorized official

Name

Christopher GistNPI 1881685584

Title

Owner

Phone

(520) 447-8892

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Christopher W Gist, MD

  • Urology Physician
  • Tucson, AZ
  • NPI 1881685584
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1750045597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333130",
            "telephone_number": "520-447-8892",
            "fax_number": "520-447-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 425",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106157",
            "telephone_number": "520-447-8892",
            "fax_number": "520-447-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST UROLOGY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "GIST",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-447-8892"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southwest Sober Living, LLC
• Southwest Sports and Spine
• Southwest Sports and Spine LLC
• Southwest Surgical Services
• Southwestern Eye Center LTD
• Southwestern Eye Center, LTD
• Southwestern Physicians PC
• Southwestern Urology, PLLC
• Robert Hand Southworth

• Urology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.