Carondelet St Marys Campus LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CARONDELET ST MARYS CAMPUS LLC

Doing business as

Carondelet Silverbell Surgery Center

Practice address

585 N Silverbell Road
Tucson, AZ 85745

Phone

(520) 623-1600

NPI assigned

Nov 16, 2006

Reactivated

May 20, 2008

Last updated

May 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl A Tanno

Title

Administrator

Phone

(520) 877-5665

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carondelet Silverbell Surgery Center Doing business as

Locations

Practitioners 1

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.

• Kenneth Kieun Choi, MD

  • Urology Physician
  • Tucson, AZ
  • NPI 1255333589
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1902979180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 WEST ORANGE GROVE ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413117",
            "telephone_number": "520-877-5660",
            "fax_number": "520-877-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N SILVERBELL ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85745",
            "telephone_number": "520-623-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET ST MARYS CAMPUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-05-20",
        "deactivation_date": "2008-05-05",
        "reactivation_date": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "TANNO",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-877-5665",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063515",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carondelet Silverbell Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carondelet Medical Group
• Carondelet Medical Group Inc
• Carondelet Medical Group Urgent Care, Inc
• Carondelet Medical Group, Inc
• Carondelet Specialist Group, Inc
• Carondelet St. Joseph's Hospital
• Carondelet St. Mary's Northwest, LLC (Carondelet Foothills Surgery Center)
• Cathy P. Carpenter, M.D.
• Heidi Ana Carpenter, OTD, OTR/L
• Sarah Jane Carpenter, M.D.

• Ambulatory Surgical Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.