Dustyn L Severns, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3039 Issued in AZ

Practice address

1555 E River Rd
Tucson, AZ 85718-5831

Phone

(520) 321-9850

Fax

(520) 321-9005

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona Community Surgeons PC

  • Surgery Physician
  • Tucson, AZ
  • NPI 1689616070
  NPD (past)
• University Orthopedic Specialists, PLLC

  • Orthopaedic Surgery Physician
  • Tucson, AZ
  • NPI 1710065867
  NPD (past)
• Scott & White Hospital - Taylor

  • Emergency Medicine Physician
  • Taylor, TX
  • NPI 1659366557
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1851470876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185831",
            "telephone_number": "520-321-9850",
            "fax_number": "520-321-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185831",
            "telephone_number": "520-321-9850",
            "fax_number": "520-321-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERNS",
        "first_name": "DUSTYN",
        "middle_name": "L",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3039",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA17167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Thomas Sethney, M.D.
• Theresa M Setlock, OD
• David Hua Seto, PHARMD
• Setua Iup, LLC
• Olivia Setzer
• Sarah Severson Hutchison, MD
• Alisha Severson, M.S.
• Sevi Cares Az PLLC
• Garret Sewell, CRNA
• Ileana Guadalupe Sewell, OTR/L

• All providers in Tucson, AZ
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.