Thomas J Hausam, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

14547 Issued in AR

Practice address

1150 Whitehouse Canyon Rd
Green Valley, AZ 85614

Phone

(520) 625-3691

Fax

(520) 625-2894

NPI assigned

Nov 17, 2005

Last updated

Feb 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• United Community Health Center-Maria Auxiliadora, Inc.

  • Federally Qualified Health Center (FQHC)
  • Green Valley, AZ
  • NPI 1548210461
  NPD (past)
• United Community Health Center-Maria Auxiliadora, Inc.

  • Federally Qualified Health Center (FQHC)
  • Green Valley, AZ
  • NPI 1811465966
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1245212943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 W ESPERANZA BLVD",
            "address_2": "STE 201",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142667",
            "telephone_number": "520-615-4401",
            "fax_number": "520-625-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 WHITEHOUSE CANYON RD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "85614",
            "telephone_number": "520-625-3691",
            "fax_number": "520-625-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSAM",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "14547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820705",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Mantha Hamlin, LMT
• Kayla D Hancock, PHARMD
• Hanger Prosthetics & Orthotics West, Inc. (Hanger Clinic)
• Rachel Tennessee Hardy, D.O.
• Harmony Palliative Care, LLC
• Haven Arizona Operating Subsidiary, LLC
• Haven Arizona, LLC
• Haven Health Green Valley LLC
• Haven Springs at Green Valley LLC (Haven Springs at Green Valley)
• Healthquest of Green Valley LLC (Best Chiropractic)

• Pediatrics Physician in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.