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PUSCH RIDGE FAMILY MEDICINE PLLC NPI 1144278466


NPI Information

NPI: 1144278466
Provider Name: PUSCH RIDGE FAMILY MEDICINE, PLLC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 03D0983246

Address:
7390 N LA CHOLLA BLVD
TUCSON, AZ
ZIP 85741
Phone: (520) 825-3547
Get Directions

PUSCH RIDGE FAMILY MEDICINE, PLLC is a preferred provider organization in Tucson, AZ. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PUSCH RIDGE FAMILY MEDICINE, PLLC NPI is 1144278466. The provider is registered as an organization entity type.

The provider's business location address is:

7390 N LA CHOLLA BLVD
TUCSON, AZ
ZIP 85741-305
Phone: (520) 825-3547
Fax: (520) 825-3652

The provider's authorized official is Rachel L Charani .
The authorized official title is Practice Manager and has the following contact phone number (520) 825-3547.

The CLIA number assigned to this NPI record is 03D0983246 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 12/1/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization2455ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G31895MEDICARE UPINARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.