Active NPI
Samuel David Christensen, MD
- Student in an Organized Health Care Education/Training Program
- Tucson, AZ
National Provider Identifier
1225880974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1501 N. Campbell Ave., Room 4401
P.O. Box 245114
Tucson, AZ 85724 - Phone
- (520) 626-7221
- Fax
- (520) 626-6943
- NPI assigned
- Apr 4, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1501 N. Campbell Ave., Room 4401
P.O. Box 245114
Tucson, AZ 85724
Mailing address
1501 N. Campbell Ave., Room 4401
P.O. Box 245114
Tucson, AZ 85724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240715003229 | AZ | Order and Referring Only - Anesthesiology | 0042755969 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1225880974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N. CAMPBELL AVE., ROOM 4401",
"address_2": "P.O. BOX 245114",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N. CAMPBELL AVE., ROOM 4401",
"address_2": "P.O. BOX 245114",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85724",
"telephone_number": "520-626-7221",
"fax_number": "520-626-6943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "SAMUEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-04",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
- Deborah Lynn Christensen, RN
- Elizabeth H. Christensen, LPC
- Hugh Christensen, PA
- Laura Elizabeth Hook Christensen, M.S., CF-SLP
- Nicholas Lee Christensen, PHARM.D.
- Sarah Christensen, PA-C
- Christi Estrada Behavioral Health
- Christian Care Nursing Center Inc.
- Christian Family Care Agency
- Christian Hope Counseling PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.