ARIZONA PEDIATRIC SURGERY LTD - NPI 1720111396

Q: What is Arizona Pediatric Surgery Ltd's NPI number?

The NPI number for Arizona Pediatric Surgery Ltd is 1720111396. It was assigned to this organization in the NPPES registry on March 13, 2007.

Q: What is Arizona Pediatric Surgery Ltd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

On this page

About Arizona Pediatric Surgery Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARIZONA PEDIATRIC SURGERY LTD (NPI 1720111396) is a healthcare organization registered as a specialist in Tucson, Arizona and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Catherine Cosentino, Officer, as its authorized official.

NPPES Registry Identity

NPI1720111396

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameARIZONA PEDIATRIC SURGERY LTD

Location Address5166 E GLENN STTucson, AZ 85712-1337

Mailing Address5166 E Glenn StTucson, AZ 85712-1337 · (520) 795-5338 · Fax (520) 795-5382

Phone(520) 795-5338

Fax(520) 795-5382

Organization SubpartNo

Authorized OfficialCatherine CosentinoOfficer · (520) 795-5338

Enumeration DateMarch 13, 2007

Last NPPES UpdateNovember 30, 2007

✔ NPI 1720111396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5166 E GLENN ST, Tucson, AZ 85712

Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedWCKDZAZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2152996

Tmc Medical Network Dba Arizona Pediatric Surgery And Urology · Tucson, AZ

Active · expires Aug 20, 2026

CLIA Number03D2152996

Laboratory TypePhysician Office

Certificate Effective DateAugust 21, 2024

Certificate Expiration DateAugust 20, 2026

Laboratory DirectorRichard Ashley

Laboratory Phone(520) 324-5758

Laboratory LocationTmc Medical Network Dba Arizona Pediatric Surgery And Urology5166 E Glenn St, Tucson, AZ 85712

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DERRICK LYNN JOHNSTON M.D.

Urology (Pediatric Urology)