ST. MARY'S HOSPITAL MEDICAL MALL AT GREEN VALLEY – NPI #1487014882
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

ST. MARY'S HOSPITAL MEDICAL MALL AT GREEN VALLEY is a radiologist located in GREEN VALLEY, AZ. NPPES has assigned the NPI number 1487014882 to ST. MARY'S HOSPITAL MEDICAL MALL AT GREEN VALLEY on February 26, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST. MARY'S HOSPITAL MEDICAL MALL AT GREEN VALLEY” is a dba name, the actual legal business name for this organization is SMSJ TUCSON HOLDINGS, LLC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 4 years ago on May 03, 2022. 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 ST. MARY'S HOSPITAL MEDICAL MALL AT GREEN VALLEY below.

NPI Profile for
SMSJ TUCSON HOLDINGS, LLC

NPI Number
1487014882
Enumeration Date

(more than 10 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
SMSJ TUCSON HOLDINGS, LLC
Doing Business As (dba): ST. MARY'S HOSPITAL MEDICAL MALL AT GREEN VALLEY
Primary location
400 W CAMINO CASA VERDE
SUITE 200
GREEN VALLEY, AZ 85614-3564
Phone: (520) 872-4555 Fax:
Mailing address
395 N SILVERBELL RD
SUITE 185
TUCSON, AZ 85745-2675
Phone: (520) 609-2509 Fax:
Organization Subpart
No
Authorized Official
CRISTIAN CORMIER
CFO
Phone: (915) 747-2634
Updated
Certification Date
May 03, 2022

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.

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
2085R0202X
- Radiology / Diagnostic Radiology (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.