NPIMap

Organization Active NPI

Carondelet Specialist Group, Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tucson, AZ
National Provider Identifier
1891978516
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
29552 Issued in AZ
Legal business name
CARONDELET SPECIALIST GROUP, INC
Practice address
2202 N. Forbes Blvd
Tucson, AZ 85745-1412
Phone
(520) 872-7265
Fax
(520) 872-7929
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Ms. Christen A Castellano, MBA
Title
Executive Vice President/Chief Stra
Phone
(520) 872-7638

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 29552 AZ
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X 29552 AZ Primary

Addresses

Primary practice location

2202 N. Forbes Blvd
Tucson, AZ 85745-1412

Mailing address

2202 N. Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 872-7265

Other identifiers 1

IdentifierTypeStateIssuer
325160MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1315 S La Canada Dr
Green Valley, AZ 85622
Phone (520) 625-6600

1209 W Target Range Rd
#104
Nogales, AZ 85621
Phone (520) 287-8004

1209 W Target Range Rd
Ste 104
Nogales, AZ 85621
Phone (520) 882-0696

1209 W Target Range Rd
#10
Nogales, AZ 85621
Phone (520) 287-8004

75 Colonia de Salud
Ste 22
Sierra Vista, AZ 85635

300 El Camino Real
Ste 10G
Sierra Vista, AZ 85635

6567 E Carondelet Dr
Ste 225
Tucson, AZ 85710
Phone (520) 886-3432

6567 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 296-2454

Practitioners & affiliated clinicians

Practitioners 51

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

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1891978516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N. FORBES BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451412",
            "telephone_number": "520-872-7265",
            "fax_number": "520-872-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N. FORBES BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451412",
            "telephone_number": "520-872-7265",
            "fax_number": "520-872-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET SPECIALIST GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "CASTELLANO",
        "authorized_official_first_name": "CHRISTEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT/CHIEF STRA",
        "authorized_official_telephone_number": "520-872-7638",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "29552",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "29552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325160",
            "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 Jun 27, 2013; 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.