Active NPI
Donald Lee Kane, DO
- Pediatric Emergency Medicine (Pediatrics) Physician
- Tucson, AZ
National Provider Identifier
1114009164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 3323
- Practice address
- 5301 E Grant Road
Tucson Medical Center Emergency Department
Tucson, AZ 85712-2805 - Phone
- (520) 324-1922
- Fax
- (520) 324-1088
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 3323 | AZ | Primary |
Addresses
Primary practice location
5301 E Grant Road
Tucson Medical Center Emergency Department
Tucson, AZ 85712-2805
Mailing address
5700 E Pima Street
Suite B
Tucson, AZ 85712-5601
Phone (520) 382-2819
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 571936-07 | Medicaid | AZ | |
| 571936 | Other | AZ | AHCCCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3323 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swea, P.C. | 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
- Tucson, AZ
- NPI 1407953573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114009164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 E PIMA STREET",
"address_2": "SUITE B",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857125601",
"telephone_number": "520-382-2819",
"fax_number": "520-382-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E GRANT ROAD",
"address_2": "TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122805",
"telephone_number": "520-324-1922",
"fax_number": "520-324-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "DONALD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "AZ",
"license": "3323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "571936-07",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "571936",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.