Innovation Medical PLLC · Primary Care Clinic/Center

5335 W Avenida Tierra Alta, Tucson, AZ 85742-4194

Overview

Innovation Medical PLLC is a Primary Care Clinic/Center (organization) practicing in Tucson, Arizona. The National Provider Identifier (NPI) is #1205526837, which was assigned on May 8, 2023, and the registration record was last updated on May 11, 2025. The practitioner's main practice location is at 6450 N Swan Rd Ste 120, Tucson, AZ 85718-3656; the contact telephone number is 5202601181, and the fax number is 5203663198. The primary taxonomy of Innovation Medical PLLC is Primary Care Clinic/Center (261QP2300X), with specialization in Primary Care. The authorized official for Innovation Medical PLLC is Crysty Frick (Owner).

Provider Information

NPI 1205526837
Entity Type Organization
Organization Name INNOVATION MEDICAL PLLC
Provider Name INNOVATION MEDICAL PLLC
Practice Address 6450 N Swan Rd Ste 120
Tucson
AZ 85718-3656
Practice Telephone 5202601181
Practice Fax Number 5203663198
Mailing Address 5335 W Avenida Tierra Alta
Tucson
AZ 85742-4194
Mailing Telephone 5207802533
Certification Date 2025-05-11
Enumeration Date 2023-05-08
Last Update Date 2025-05-11
Is Organization Subpart N

Authorized Official Information

Official Name CRYSTY FRICK
Official Title OWNER
Credential NP
Telephone 5207802533

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y261QP2300XClinic/CenterPrimary Care

Taxonomy Information

Primary Taxonomy

Code 261QP2300X
Taxonomy Primary Care Clinic/Center
Classification Clinic/Center
Specialization Primary Care
Grouping Ambulatory Health Care Facilities
Definition: Definition to come...

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Location Information

Street Address 5335 W AVENIDA TIERRA ALTA
City TUCSON
State AZ
Zip Code 85742-4194
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jonathan Robert Kampa 2295 W Magee Rd, Tucson, AZ 85742-4315Professional Counselor2025-07-17
Walgreen Co 9220 N Thornydale Rd, Tucson, AZ 85742-5025Durable Medical Equipment & Medical Supplies2006-07-29
Renee Maria Lujan 10805 N Coyote Ln, Tucson, AZ 85742-8669Family Nurse Practitioner2021-11-17
Growth Space Therapy LLC 2740 W Camino Llano, Tucson, AZ 85742-9250Mental Health Counselor2025-07-25
Tmj Dental, PLLC 3603 W Cortaro Farms Rd Ste 113, Tucson, AZ 85742-1219Dental Clinic/Center2025-04-02
J&P Loiselle LLC 2292 W. Magee Rd., Suite 260, Tucson, AZ 85742-4301Clinical Social Worker2007-02-13
Caitlin Marie O'Hanlon 2295 W Magee Rd Unit 105, Tucson, AZ 85742-4316Mental Health Counselor2025-08-11
Natasha V Lewis 2600 W Camino Del Grijalva, Tucson, AZ 85742-9202Occupational Therapy Assistant2025-08-19
Mary Elizabeth Libby-Lucas 9082 N Treasure Mountain Dr, Tucson, AZ 85742-4488Pharmacist2012-10-29
Bradley Konecnik, Dmd, PLLC 2195 W Magee Rd Ste 120, Tucson, AZ 85742-4313General Practice Dentistry2022-12-23
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Medical Care Innovation, P.C. 6700 Hollister St, Houston, TX 77040Primary Care Clinic/Center2018-09-19
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.