Organization Active NPI

Arizona Digestive Institute LLC

  • Endoscopy Clinic/Center
  • Tucson, AZ
National Provider Identifier
1871570424
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
ARIZONA DIGESTIVE INSTITUTE LLC
Practice address
7566 N la Cholla Blvd
Tucson, AZ 85741-2307
Phone
(520) 547-5847
Fax
(520) 742-9618
NPI assigned
Dec 26, 2005
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Paul Bryan Hudson, M.D. PH. D.
Title
Medical Director
Phone
(520) 742-4139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X AZ Primary

Addresses

Primary practice location

7566 N la Cholla Blvd
Tucson, AZ 85741-2307

Mailing address

7566 N la Cholla Blvd
Tucson, AZ 85741-2307
Phone (520) 547-5847

Other identifiers 5

IdentifierTypeStateIssuer
906555MedicaidAZ
AZ0208470OtherAZBLUE CROSS BLUE SHIELD
906555MedicaidAR
7686428OtherAZAETNA
IZ0160OtherAZHEALTHNET

National Provider Directory

National Provider Directory

Locations

7566 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 547-5847

7566 N La Cholla Blvd
#B
Tucson, AZ 85741

Practitioners & affiliated clinicians

Practitioners 2

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": "1135555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1871570424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7566 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412307",
            "telephone_number": "520-547-5847",
            "fax_number": "520-742-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7566 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412307",
            "telephone_number": "520-547-5847",
            "fax_number": "520-742-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA DIGESTIVE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-26",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "520-742-4139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PH. D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "906555",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0208470",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "906555",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7686428",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "IZ0160",
            "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 28, 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.