Active NPI
Northwest Tucson Surgery Center LP
- Ambulatory Surgical Clinic/Center
- Tucson, AZ
National Provider Identifier
1962456889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- OSC-3736
- Legal business name
- NORTHWEST TUCSON SURGERY CENTER LP
- Doing business as
- Northwest Tucson Surgery Center
- Practice address
- 6130 N la Cholla Blvd
Tucson, AZ 85741-3557 - Phone
- (520) 229-2220
- Fax
- (520) 229-2221
- NPI assigned
- May 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurie Holtsford
- Title
- Director, Business Office Services
- Phone
- (615) 465-7466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | OSC-3736 | AZ | Primary |
Addresses
Primary practice location
6130 N la Cholla Blvd
Tucson, AZ 85741-3557
Mailing address
PO Box 840050
Dallas, TX 75284-0050
Phone (520) 229-2220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 983917 | Medicaid | AZ |
Other names 1
- Northwest Tucson Surgery Center
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Tucson, AZ
- NPI 1285065029
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1962456889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840050",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840050",
"telephone_number": "520-229-2220",
"fax_number": "520-229-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6130 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413557",
"telephone_number": "520-229-2220",
"fax_number": "520-229-2221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST TUCSON SURGERY CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "HOLTSFORD",
"authorized_official_first_name": "LAURIE",
"authorized_official_title_or_position": "DIRECTOR, BUSINESS OFFICE SERVICES",
"authorized_official_telephone_number": "615-465-7466"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "AZ",
"license": "OSC-3736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "983917",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northwest Tucson Surgery Center",
"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 Jul 15, 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.