Active NPI
Erwina Ungos, D.O
- Emergency Medicine Physician
- Prescott, AZ
National Provider Identifier
1104848290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 3690
- Practice address
- Northern Arizona VA HCS
500 N. Hwy 89
Prescott, AZ 86313 - Phone
- (928) 445-4860
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 3690 | AZ | Primary |
| Emergency Medicine Physician | 207P00000X | 20A6523 | CA |
Addresses
Primary practice location
Northern Arizona VA HCS
500 N. Hwy 89
Prescott, AZ 86313
Mailing address
1549 Majestic Way
Prescott, AZ 86301
Phone (928) 776-5976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020A65230 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6523 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Services of Prescott, Inc. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Prescott, AZ
- NPI 1508816257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104848290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1549 MAJESTIC WAY",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86301",
"telephone_number": "928-776-5976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTHERN ARIZONA VA HCS",
"address_2": "500 N. HWY 89",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "928-445-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGOS",
"first_name": "ERWINA",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "3690",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A6523",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020A65230",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
- Turning Corners Mental Health
- Barbara Alice Tye-Townsel, PSYD
- Tyler Hanis DDS PLLC
- Erika Benay Tyler, AGACNP-BC
- Joy L Tyson, CRNP AND CNS-MH
- United States Veterans Initiative - Prescott
- Unlimited Home Health Center, Inc
- Untied of Northern Arizona
- Robert Claud Upchurch III, N.D.
- Joseph Uridil IV, APRN, AGACNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.