PAIN INSTITUTE OF SOUTHERN ARIZONA PROCEDURE CENTER – NPI #1174185649
Clinic/Center

PAIN INSTITUTE OF SOUTHERN ARIZONA PROCEDURE CENTER is an AHC clinic located in TUCSON, AZ. NPPES has assigned the NPI number 1174185649 to PAIN INSTITUTE OF SOUTHERN ARIZONA PROCEDURE CENTER on July 03, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PAIN INSTITUTE OF SOUTHERN ARIZONA PROCEDURE CENTER” is a dba name, the actual legal business name for this organization is PISA ASC HOLDCO LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 2 years ago on Jun 04, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAIN INSTITUTE OF SOUTHERN ARIZONA PROCEDURE CENTER below.

NPI Profile for
PISA ASC HOLDCO LLC

NPI Number
1174185649
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PISA ASC HOLDCO LLC
Doing Business As (dba): PAIN INSTITUTE OF SOUTHERN ARIZONA PROCEDURE CENTER
Primary location
4741 E CAMP LOWELL DRIVE
TUCSON, AZ 85712
Phone: (520) 318-6035 Fax: (520) 795-9953
Mailing address
4741 E CAMP LOWELL DR
TUCSON, AZ 85712-1256
Phone: (520) 829-6620 Fax:
Organization Subpart
No
Authorized Official
GREG TURK
DIRECTOR/OFFICER
Phone: (520) 333-7730
Updated
Certification Date
Jun 04, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PAIN INSTITUTE OF SOUTHERN ARIZONA PROCEDURE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAZ003149
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.