SMSJ TUCSON HOLDINGS, LLC (NPI# 1558721951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558721951 |
Entity Type | Organization |
Organization Name | SMSJ TUCSON HOLDINGS, LLC |
Other Organization Name | ST. MARY'S HOSPITAL RIVER STONE IMAGING CENTER |
Practice Address |
4892 N Stone Ave Suite 180 Tucson AZ 85704-5761 |
Mailing Address |
395 N Silverbell Rd Suite 185 Tucson AZ 85745-2675 |
Practice Telephone | 5208725300 |
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 River Stone Imaging Center | 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 |
1396105797 | Smsj Tucson Holdings, LLC | Radiology | 630 N Alvernon Way, Suite 150, Tucson, AZ 85711-1843 | 2016-02-26 |
1659731057 | Smsj Tucson Holdings, LLC | Radiology | 8290 S Houghton Rd, Tucson, AZ 85747-9723 | 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 |
4892 N STONE AVE SUITE 180 |
City | TUCSON |
State | AZ |
Zip Code | 85704-5761 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073507026 | Derek Von Haag | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4892 N Stone Ave, Suite 100, Tucson, AZ 85704-5761 | 2005-09-06 |
1477033900 | Tricia Alvarez | Nurse Practitioner | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2018-08-15 |
1063965077 | Carrie Cannon | Nurse Practitioner | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2016-07-26 |
1982024246 | Rahim Khajeh | Family Medicine | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2014-04-24 |
1487804399 | T Bryson Struse Do Plc | Nuclear Medicine | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2008-09-27 |
1720057664 | T Bryson Struse | Nuclear Medicine | 4892 N Stone Ave, Suite 100, Tucson, AZ 85704-5761 | 2006-03-14 |
1275511503 | Mary Lynn Ruehl | Nurse Practitioner | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2006-01-06 |
1295713543 | T Bryson Struse | Nuclear Medicine | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2006-01-06 |
1922084094 | William C Ludt | Internal Medicine | 4892 N Stone Ave, Suite 100, Tucson, AZ 85704-5761 | 2005-12-20 |
1528043395 | William C Inboden | Family Medicine | 4892 N Stone Ave, Suite 100, Tucson, AZ 85704-5761 | 2005-12-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
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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.