CUSHING STREET FAMILY PRACTICE PC (NPI# 1689611956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689611956 |
| Entity Type | Organization |
| Organization Name | CUSHING STREET FAMILY PRACTICE PC |
| Practice Address |
58 W Cushing St Tucson AZ 85701-2218 |
| Practice Telephone | 5206200705 |
| Practice Fax Number | 5206200745 |
| Mailing Telephone | 5206200705 |
| Mailing Fax Number | 5206200745 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-02-20 |
| Authorized Official Name | RICCI SILBERMAN (PRESIDENT) |
| Authorized Official Telephone | 5206200705 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1572 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1372 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 853392 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851782882 | Cushing Street Family Practice PC | Nurse Practitioner | 58 W Cushing St, Tucson, AZ 85701-2218 | 2015-02-12 |
| Street Address |
58 W CUSHING ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85701-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073973244 | Cope Community Services, Inc. | Clinic/Center | 58 W Cushing St, Tucson, AZ 85701 | 2016-03-02 |
| 1851782882 | Cushing Street Family Practice PC | Nurse Practitioner | 58 W Cushing St, Tucson, AZ 85701-2218 | 2015-02-12 |
| 1205906591 | Stacy Lynn Long | Physician Assistant | 58 W Cushing St, Tucson, AZ 85701-2218 | 2006-11-08 |
| 1164521076 | Molly S Wheelwright | Physician Assistant | 58 W Cushing St, Tucson, AZ 85701 | 2006-09-21 |
| 1871502989 | Ricci Silberman | Physician Assistant | 58 W Cushing St, Tucson, AZ 85701-2218 | 2006-08-07 |
| 1902849326 | Dana A Smith | Nurse Practitioner | 58 W Cushing St, Tucson, AZ 85701-2218 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396203089 | Marisa Riddle | Registered Nurse | 220 W 6th Street, Tucson, AZ 85701 | 2019-03-12 |
| 1023593126 | Catherine Lee | Pharmacist | 220 W 6th Street Room B113, Tucson, AZ 85701 | 2018-09-25 |
| 1730425455 | Jan Courtney | Counselor | 85 W Franklin, Cope Community Services, Tucson, AZ 85701 | 2012-12-28 |
| 1750641569 | Christine A Widener | Social Worker | 240 N Court Ave, Tucson, AZ 85701 | 2012-05-25 |
| 1336337039 | Gerard Anthony Scarano | Psychologist | 10 E 10th St, Tucson, AZ 85701 | 2007-10-09 |
| 1922166107 | Coyote Task Force | Community/Behavioral Health | 66 E Pennington, Tucson, AZ 85701 | 2006-12-04 |
| 1407928575 | Community Provider of Enrichment Services, Inc. | Community/Behavioral Health | 355 W 24th St, Tucson, AZ 85701 | 2006-11-14 |
| 1164510731 | G. Lynn Bonner | Counselor | 325 W. Franklin St., Ste 117, Tucson, AZ 85701 | 2006-10-10 |
| 1548361470 | La Frontera Center, Inc. | Clinic/Center | 260 S. Scott, Tucson, AZ 85701 | 2006-09-25 |
| 1356317077 | Linda Kapinos | Nurse Practitioner | 101 South Stone Avenue, Cope Community Services, Inc., Tucson, AZ 85701 | 2006-02-23 |
| Find all providers in zip 85701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023667623 | Halie Furrier | Physician Assistant | 5345 E Gleneagles Dr, Tucson, AZ 85718-1803 | 2019-09-05 |
| 1013499599 | Jeremy Robert Thomas | Physician Assistant | 5230 E Farness Dr Ste 100, Tucson, AZ 85712-2141 | 2018-08-31 |
| 1679859920 | Jamie Wystrach | Physician Assistant | 6127 N La Cholla Blvd Ste 101, Tucson, AZ 85741-3744 | 2011-11-01 |
| 1427290667 | William E Jackson | Physician Assistant | 9261 E Northview Ct, Tucson, AZ 85749-9792 | 2009-04-02 |
| 1366692238 | Judith Kaye Jones | Physician Assistant | 501 N Park Ave, 110, Tucson, AZ 85719-5034 | 2008-09-26 |
| 1316146681 | Britni Reann Mcbryde | Physician Assistant | 2260 W. Orange Grove Rd, Tucson, AZ 85741 | 2007-07-16 |
| 1275614786 | Amy Vinik | Physician Assistant | 1601 W St. Mary's Road, Tucson, AZ 85745 | 2006-10-18 |
| 1639132301 | Justin Thomas Decker | Physician Assistant | 501 N Park Ave Ste 120, Tucson, AZ 85719-5034 | 2006-04-11 |
| 1477520484 | Carlos Martin Aguilar | Physician Assistant | 1460 W Valencia Rd Ste 141, Tucson, AZ 85746-6001 | 2006-03-08 |
| 1518932136 | Darek Anderson | Physician Assistant | 1595 E River Rd Ste 201, Tucson, AZ 85718-5984 | 2006-02-17 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on CUSHING STREET FAMILY PRACTICE PC.
| 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.