Active NPI
Arizona Medical Specialty Group, LLC
- General Practice Physician
- Tucson, AZ
National Provider Identifier
1972125490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- ARIZONA MEDICAL SPECIALTY GROUP, LLC
- Practice address
- 5590 E River Rd.
Suite 150
Tucson, AZ 85750 - Phone
- (520) 800-8229
- Fax
- (520) 369-2154
- NPI assigned
- May 7, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. David P Skinner Jr., MD, PHD, MBA
- Title
- Ceo
- Phone
- (520) 800-8229
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Tucson, AZ
- NPI 1932514684
AZ, General Practice
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2185212 | Arizona Medical Specialty Group, LLC | Certificate of waiver | Mar 29, 2028 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201012000764 | AZ | Part B Supplier - Clinic/Group Practice | 9436579547 |
Receives reassigned benefits from 5 practitioners Practice locations: Oro Valley, AZ; Tucson, AZ |
National Provider Directory
National Provider DirectoryLocations
11015 N Oracle Rd
Oro Valley, AZ 85737
5590 E River Rd
Ste 150
Tucson, AZ 85750
Phone (520) 800-8229
5590 E River Rd
Tucson, AZ 85750
5590 E River Rd
Ste 101
Tucson, AZ 85750
Specialties & licenses 5
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Psychiatry Physician | 2084P0800X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
NPPES NPI RegistryPrimary practice location
5590 E River Rd.
Suite 150
Tucson, AZ 85750
Mailing address
5590 E River Rd Ste 150
Tucson, AZ 85750-1925
Phone (520) 800-8229
Other names 1
NPPES NPI Registry- Immediate Care Arizona
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2021.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635465600000",
"number": "1972125490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5590 E RIVER RD STE 150",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857501925",
"telephone_number": "520-800-8229",
"fax_number": "520-369-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5590 E RIVER RD.",
"address_2": "SUITE 150",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85750",
"telephone_number": "520-800-8229",
"fax_number": "520-369-2154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA MEDICAL SPECIALTY GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-07",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "520-800-8229",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD, PHD, MBA"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Immediate Care Arizona",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Immediate Care Arizona",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tucson, AZ
- Arizona Language and Transportation Services
- Arizona Language and Transportation Services Inc
- Arizona Lift and Care Specialists, LLC
- Arizona Lymphedema Institute
- Arizona Medical Services, PC
- Arizona Medical Transport, LLC
- Arizona Mobile Outpatient Rehab PLLC
- Arizona Mohs Surgery, PLLC
- Arizona Occupational Therapy Services, LLC
- Arizona Oncology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.