PISA ASC HOLDCO LLC NPI 1174185649

NPI Information

  • NPI: 1174185649
  • Provider Name: PISA ASC HOLDCO LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: PAIN INSTITUTE OF SOUTHERN ARIZONA PROCEDURE CENTER
  • CLIA Number: 03D2173701
  • Address: 4741 E CAMP LOWELL DRIVE
    TUCSON, AZ
    ZIP 85712
  • Phone: (520) 318-6035

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NPI Details

PISA ASC HOLDCO LLC is an ambulatory surgical clinic center in Tucson, AZ. PISA ASC HOLDCO LLC NPI is 1174185649. The provider is registered as an organization entity type.
The provider Is Doing Business As Pain Institute Of Southern Arizona Procedure Center.

The provider's business location address is:

4741 E CAMP LOWELL DRIVE
TUCSON, AZ
ZIP 85712
Phone: (520) 318-6035
Fax: (520) 795-9953

The provider's authorized official is Greg Turk .
The authorized official title is Director/officer and has the following contact phone number (520) 333-7730.

The CLIA number assigned to this NPI record is 03D2173701 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance (HCPCS:64451)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Destruction of nerves supplying joint between spine and pelvis using imaging guidance (HCPCS:64625)
  • Injection of anesthetic agent and/or steroid into lower back and leg nerve (HCPCS:64445)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)
  • Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin (HCPCS:0275T)
  • Injection of anesthetic agent and/or steroid into rib nerve (HCPCS:64420)
  • Placement of stabilizing device to lower spine level (HCPCS:22869)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Destruction of nerve branches of knee using imaging guidance (HCPCS:64624)

The enumeration date for this NPI number is 7/3/2019 and was last updated on 6/4/2024.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
1003149MEDICAIDARIZONA

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: 11/21/2025

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