Healthcare Provider Details

I. General information

NPI: 1619106978
Provider Name (Legal Business Name): JAMES ANTHONY SUIT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2009
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N CAMPBELL AVE ROOM 3301
TUCSON AZ
85724-0001
US

IV. Provider business mailing address

1501 N CAMPBELL AVE PO BOX 245073
TUCSON AZ
85724-0001
US

V. Phone/Fax

Practice location:
  • Phone: 520-626-6053
  • Fax:
Mailing address:
  • Phone: 520-626-6053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number04-38950
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR71631
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number2016012562
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: