Individual provider Active NPI

Anthony J Moretz, P.A.-C

  • Medical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1194754820
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2487 Issued in AZ
Practice address
1775 W Saint Marys Rd
Suite 116
Tucson, AZ 85745-2696
Phone
(520) 624-2471
Fax
(520) 882-7469
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2487 AZ Primary
Surgical Physician Assistant 363AS0400X 2487 AZ

Addresses

Primary practice location

1775 W Saint Marys Rd
Suite 116
Tucson, AZ 85745-2696

Mailing address

7227 E Toronto St
Tucson, AZ 85730-2342
Phone (520) 955-2377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050210000416 AZ Practitioner - Physician Assistant 6800848508 Reassigns benefits to 1 organization
I20130717000214 NM Practitioner - Physician Assistant 6800848508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2487AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince Nov 30, 2012 Accepting new patients
Otero County Hospital Association CurrentSince Dec 1, 2024 Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

8333 N Silverbell Rd
Tucson, AZ 85743
Phone (520) 202-7700

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

3870 W River Rd
Ste 126
Tucson, AZ 85741
Phone (520) 209-7000

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1194754820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 E TORONTO ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857302342",
            "telephone_number": "520-955-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 W SAINT MARYS RD",
            "address_2": "SUITE 116",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452696",
            "telephone_number": "520-624-2471",
            "fax_number": "520-882-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETZ",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2487",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.