Active NPI
Donald G Sansom, DO
- Anesthesiology Physician
- Tucson, AZ
National Provider Identifier
1194780056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2995
- Practice address
- 2810 N Swan Rd
Suite 100
Tucson, AZ 85712-6305 - Phone
- (520) 324-2030
- Fax
- (520) 445-6019
- NPI assigned
- Apr 20, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2995 | AZ | Primary |
Addresses
Primary practice location
2810 N Swan Rd
Suite 100
Tucson, AZ 85712-6305
Mailing address
2810 N Swan Rd
Suite 100
Tucson, AZ 85712-6305
Phone (520) 324-2030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314980 | Medicaid | AZ |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1194780056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 N SWAN RD",
"address_2": "SUITE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126305",
"telephone_number": "520-324-2030",
"fax_number": "520-445-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 N SWAN RD",
"address_2": "SUITE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126305",
"telephone_number": "520-324-2030",
"fax_number": "520-445-6019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANSOM",
"first_name": "DONALD",
"middle_name": "G",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "2995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "314980",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
- Sanova Behavioral Health PLLC
- Sanova Physical Medicine PLLC
- Sanova Podiatry PLLC
- Sanova Pulmonary PLLC
- Sanova Urgent Care PLLC
- Genevieve Antoinette Sansonetti-Sice
- Angela Santa Cruz Madrigal, RBT
- Santa Cruz Urology Care Clinic LLC
- Margarita Pilar Santa Cruz-Gordon, LPN
- Amber Marie Pablo Santa Cruz, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.