SAGUARO SPECIALTY PHYSICIANS, LLC (NPI# 1316263825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316263825 |
| Entity Type | Organization |
| Organization Name | SAGUARO SPECIALTY PHYSICIANS, LLC |
| Other Organization Name | TMCONE |
| Practice Address |
4881 E Grant Suite 201 Tucson AZ 85712 |
| Mailing Address |
P.o. Box 31235 Tucson AZ 85751-1235 |
| Practice Telephone | 5203244774 |
| Practice Fax Number | 5203241406 |
| Mailing Telephone | 5203244100 |
| Mailing Fax Number | 5203242567 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2016-08-29 |
| Authorized Official Name | NICOLE BALSER (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 5203244419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 516559 | 05 |
| Other Name | Type Code |
|---|---|
| TMCOne | Other Name - Individual/Organization |
| Street Address |
4881 E GRANT SUITE 201 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1922660182 | Banner -- University Medical Center South Campus LLC | Clinic/Center | 3950 S Country Club Rd Ste 130&140, Tucson, AZ 85714-2099 | 2019-07-08 |
| 1205497476 | Desert Medical Offices LLC | Clinic/Center | 5981 E Grant Rd Ste 115, Tucson, AZ 85712-2363 | 2019-06-27 |
| 1043758816 | B--umg Integrated Health Clinic, LLC | Clinic/Center | 535 N Wilmot Rd Fl 2, Tucson, AZ 85711-2600 | 2017-02-01 |
| 1932708328 | Banner -- University Medical Group | Clinic/Center | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2020-10-18 |
| 1982210118 | Vasco Healthcare Inc | Clinic/Center | 3900 E Broadway Blvd, Tucson, AZ 85711-3453 | 2020-09-22 |
| 1972119105 | Vasco Healthcare Inc | Clinic/Center | 2120 W Ina Rd Ste 100, Tucson, AZ 85741-5501 | 2020-09-22 |
| 1942763081 | Casabona Chiropractic PC | Clinic/Center | 7562 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2019-04-06 |
| 1376000786 | Children's Clinics for Rehabilitative Services | Clinic/Center | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2019-02-22 |
| 1487178505 | B--umg Tucson Ap Physicians LLC | Clinic/Center | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2017-07-31 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.