Organization Active NPI

Medical Services of Southern Arizona

  • Anesthesiology Physician
  • Tucson, AZ
National Provider Identifier
1871985366
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
30154 Issued in AZ
Legal business name
MEDICAL SERVICES OF SOUTHERN ARIZONA
Doing business as
Pima Anesthesia
Practice address
6365 E Tanque Verde Rd
Suite 230
Tucson, AZ 85715-3830
Phone
(520) 886-1071
Fax
(520) 881-3374
NPI assigned
Feb 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Le Roi A Baez, MDNPI 1821039314
Title
Owner
Phone
(520) 886-1071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 30154 AZ Primary

Addresses

Primary practice location

6365 E Tanque Verde Rd
Suite 230
Tucson, AZ 85715-3830

Mailing address

PO Box 43160
Tucson, AZ 85733-3160
Phone (520) 722-3777

Other identifiers 1

IdentifierTypeStateIssuer
001588MedicaidAZ

Other names 1

  • Pima Anesthesia Doing business as

National Provider Directory

National Provider Directory

Locations

6365 E Tanque Verde Rd
Ste 230
Tucson, AZ 85715
Phone (520) 886-1055

Practitioners & affiliated clinicians

Practitioners 1

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": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1871985366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333160",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6365 E TANQUE VERDE RD",
            "address_2": "SUITE 230",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153830",
            "telephone_number": "520-886-1071",
            "fax_number": "520-881-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES OF SOUTHERN ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "LE ROI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-886-1071",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "30154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001588",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pima Anesthesia",
            "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 Mar 25, 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.