NPIMap

Organization Active NPI

Randall S. Prust MD PC

Doing business as Rincon Pain and Spine

  • Interventional Pain Medicine Physician
  • Tucson, AZ
National Provider Identifier
1821652686
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
RANDALL S. PRUST MD PC
Doing business as
Rincon Pain and Spine
Practice address
6060 N Fountain Plaza Dr Ste 170
Tucson, AZ 85704-7875
Phone
(520) 731-5540
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Authorized official

Name
Randall S. Prust, MD
Title
President
Phone
(520) 731-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

6060 N Fountain Plaza Dr Ste 170
Tucson, AZ 85704-7875

Mailing address

4747 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 731-5540

Other names 1

  • Rincon Pain and Spine Doing business as

National Provider Directory

National Provider Directory

Locations

13101 N Oracle Rd
Ste 193
Tucson, AZ 85739
Phone (520) 429-8523

4747 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 322-2560

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1821652686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-731-5540",
            "fax_number": "520-731-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 N FOUNTAIN PLAZA DR STE 170",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047875",
            "telephone_number": "520-731-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL S. PRUST MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "PRUST",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-731-5540",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rincon Pain and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 26, 2019; 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.