SMSJ TUCSON HOLDINGS, LLC (NPI# 1396105797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396105797 |
Entity Type | Organization |
Organization Name | SMSJ TUCSON HOLDINGS, LLC |
Other Organization Name | ST. MARY'S HOSPITAL IMAGING CENTER-CENTRAL |
Practice Address |
630 N Alvernon Way Suite 150 Tucson AZ 85711-1843 |
Mailing Address |
395 N Silverbell Rd Suite 185 Tucson AZ 85745-2675 |
Practice Telephone | 5203228273 |
Mailing Telephone | 5206092509 |
Enumeration Date | 2016-02-26 |
Last Update Date | 2017-09-05 |
Authorized Official Name | MR. CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET) |
Authorized Official Telephone | 3107758040 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
St. Mary's Hospital Imaging Center-Central | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487218509 | Smsj Tucson Holdings, LLC | General Acute Care Hospital | 5620 W Cortaro Farms Rd, Tucson, AZ 85742-9559 | 2019-04-24 |
1659731057 | Smsj Tucson Holdings, LLC | Radiology | 8290 S Houghton Rd, Tucson, AZ 85747-9723 | 2016-02-26 |
1558721951 | Smsj Tucson Holdings, LLC | Radiology | 4892 N Stone Ave, Suite 180, Tucson, AZ 85704-5761 | 2016-02-26 |
1487014882 | Smsj Tucson Holdings, LLC | Radiology | 400 W Camino Casa Verde, Suite 200, Green Valley, AZ 85614-3564 | 2016-02-26 |
Street Address |
630 N ALVERNON WAY SUITE 150 |
City | TUCSON |
State | AZ |
Zip Code | 85711-1843 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730189655 | James M Gillard | Emergency Medicine | 630 N Alvernon Way, Suite 250, Tucson, AZ 85711-1843 | 2005-07-21 |
1720568223 | Mary Elizabeth Hunter | Counselor | 630 N Alvernon Way, Tucson, AZ 85711-1843 | 2018-08-15 |
1770070732 | Andrew Ryan Dorsett | Registered Nurse | 630 N Alvernon Way, Tucson, AZ 85711-1843 | 2018-04-16 |
1417463316 | Wade Arden Vero Gage | Social Worker | 630 N Alvernon Way, Tucson, AZ 85711-1843 | 2017-12-14 |
1598201295 | Jessica Ganz | Nurse Practitioner | 630 N Alvernon Way, Suite 250, Tucson, AZ 85711-1843 | 2017-01-18 |
1336556596 | Ronald A. Kline, Md., PC | Surgery | 630 N Alvernon Way, Suite 180, Tucson, AZ 85711-1843 | 2014-07-18 |
1174862007 | Codac Health, Recovery & Wellness, Inc. | Clinic/Center | 630 N Alvernon Way, Ste 161, Tucson, AZ 85711-1843 | 2013-02-13 |
1639416084 | Genoa Healthcare, LLC | Pharmacy | 630 N Alvernon Way, 1st Fl, Suite 161, Tucson, AZ 85711-1843 | 2013-01-04 |
1023308962 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 630 N Alvernon Way, Tucson, AZ 85711-1843 | 2011-04-12 |
1831491059 | Karen Lynn Modrzejewski | Registered Nurse | 630 N Alvernon Way, Tucson, AZ 85711 | 2010-11-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
Find all providers in zip 85711 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841840188 | Smsj Imaging Company LLC | Radiology | 630 N Alvernon Way Ste 150, Tucson, AZ 85711-1844 | 2019-09-18 |
1417507765 | Smsj Imaging Company LLC | Radiology | 395 N Silverbell Rd Ste 185, Tucson, AZ 85745-2721 | 2019-09-18 |
1740839786 | Smsj Imaging Company LLC | Radiology | 4892 N Stone Ave Ste 180, Tucson, AZ 85704-5761 | 2019-09-11 |
1104280205 | Marcus Paul Carr | Radiology | Banner University Medical Center 1501 N, Tucson, AZ 85724-6410 | 2016-04-05 |
1659751774 | Chelsea Conn Caruso | Radiology | 1625 N Campbell Ave Unit 22, Tucson, AZ 85719-4330 | 2015-06-03 |
1699154542 | Lea Mackinnon | Radiology | 5749 E Hawthorne St, Tucson, AZ 85711-1523 | 2015-05-26 |
1245618545 | Arizona State Radiology, PC | Radiology | 12112 Rancho Vistoso Blvd 150-221, Tucson, AZ 85755 | 2015-05-07 |
1811385388 | Donald Lee Tempkin | Radiology | 3831 E Sumo Noveno, Tucson, AZ 85718-6051 | 2015-01-06 |
1356782221 | Wyatt Unger | Radiology | University of Arizona College of Medicine, 1501 N Campbell, Tucson, AZ 85721-0001 | 2013-07-08 |
1992046767 | Landon Winget | Radiology | 1845 W Orange Grove Rd Ste 105, Tucson, AZ 85704-1196 | 2013-03-04 |
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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.