OLD PUEBLO PLASTIC SURGERY, P.C. – NPI #1972714392
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

OLD PUEBLO PLASTIC SURGERY, P.C. is a surgeon located in TUCSON, AZ. NPPES has assigned the NPI number 1972714392 to OLD PUEBLO PLASTIC SURGERY, P.C. on May 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 OLD PUEBLO PLASTIC SURGERY, P.C. below.

NPI Profile for
OLD PUEBLO PLASTIC SURGERY, P.C.

NPI Number
1972714392
Enumeration Date

(more than 19 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
OLD PUEBLO PLASTIC SURGERY, P.C.
Primary location
2385 N FERGUSON AVE
#101
TUCSON, AZ 85712-2835
Phone: (520) 327-4514 Fax: (520) 327-8418
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN COLLINS
SURGEON
Phone: (520) 327-4514
Updated
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 AZ 13528

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.