Active NPI
David Anthony Emmerson, MD
- Diagnostic Radiology Physician
- Tucson, AZ
National Provider Identifier
1346210655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 7700
- Practice address
- 7158 E Desert Moon Loop
Tucson, AZ 85750-0918 - Phone
- (520) 403-0300
- NPI assigned
- Jan 26, 2006
- Last updated
- Jul 12, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 7700 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | 7700 | AZ | Primary |
Addresses
Primary practice location
7158 E Desert Moon Loop
Tucson, AZ 85750-0918
Mailing address
7158 E Desert Moon Loop
Tucson, AZ 85750-0918
Phone (520) 403-0300
Other practice location 1
677 N Wilmot Rd
Tucson, AZ 85711-2701
Phone (520) 795-2889 ext. 1459
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300024033 | Other | AZ | MEDICARE RAILROAD |
| CS7943 | Other | AZ | GROUP MEDICARE RAILROAD ID & PTAN |
| 248478 | Medicaid | AZ | |
| 1346210655 | Other | AZ | PHYSICIAN INDIVIDUAL NPI |
| ZWCBBM | Other | AZ | GROUP MEDICARE ID |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7700 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RLC LLC | Diagnostic Radiology | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1346210655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7158 E DESERT MOON LOOP",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857500918",
"telephone_number": "520-403-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7158 E DESERT MOON LOOP",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857500918",
"telephone_number": "520-403-0300"
}
],
"practiceLocations": [
{
"address_1": "677 N Wilmot Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857112701",
"country_code": "US",
"telephone_number": "520-795-2889 x1459",
"fax_number": "520-795-6321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMMERSON",
"first_name": "DAVID",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "AZ",
"license": "7700",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "7700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "300024033",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE RAILROAD ID & PTAN",
"identifier": "CS7943",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "248478",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN INDIVIDUAL NPI",
"identifier": "1346210655",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE ID",
"identifier": "ZWCBBM",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Emmanuel Care Behavioral PLLC
- Emmanuel Care Home Inc.
- Emmanuel Care Home Inc. (Emmanuel Care Home 111)
- Emmanuel Care Home Inc. (Emmanuel Care Home 11)
- Nicole Emmerich, PMHNP-BC
- Daunya LK Emory-Jackson
- Empathic Horizons Mental Health LLC (Empathic Horizons)
- Empire Behavioral LLC
- Empowerme Medical Group, PC
- Emr Health Care Resources
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.