CUSHING STREET FAMILY PRACTICE PC NPI 1689611956

NPI Information

NPI: 1689611956
Provider Name: CUSHING STREET FAMILY PRACTICE PC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
58 W CUSHING ST
TUCSON, AZ
ZIP 85701
Phone: (520) 620-0705
Get Directions

CUSHING STREET FAMILY PRACTICE PC is a medical physician assistant in Tucson, AZ. CUSHING STREET FAMILY PRACTICE PC NPI is 1689611956. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

58 W CUSHING ST
TUCSON, AZ
ZIP 85701-218
Phone: (520) 620-0705
Fax: (520) 620-0745

The provider's authorized official is Ricci Silberman .
The authorized official title is President and has the following contact phone number (520) 620-0705.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 2/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1572	ARIZONA	No
2	363AM0700X	Physician Assistant	Medical	1372	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z81622	MEDICARE UPIN	ARIZONA
2	853392	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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