Active NPI
Nicholas William D'Amico, MD, CAPTAIN USAF
- Emergency Medicine Physician
- Tucson, AZ
National Provider Identifier
1427679109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R80798
- Practice address
- 1625 N Campbell Ave
Tucson, AZ 85719-4330 - Phone
- (520) 694-8888
- NPI assigned
- May 4, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | M-15994 | ID | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | R80798 | AZ | Primary |
Addresses
Primary practice location
1625 N Campbell Ave
Tucson, AZ 85719-4330
Mailing address
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (205) 694-8888
Other practice location 1
90 Hope Dr Bldg 6000
Mountain Home AFB, ID 83648-1062
Phone (208) 828-7401
Other practice location 2
301 Fisher St
Biloxi, MS 39534-2508
Phone (228) 376-5571
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R80798 | AZ | MD | Emergency Medicine Physician |
| M-15994 | ID | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1427679109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857194330",
"telephone_number": "205-694-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857194330",
"telephone_number": "520-694-8888"
}
],
"practiceLocations": [
{
"address_1": "90 Hope Dr Bldg 6000",
"address_purpose": "LOCATION",
"city": "Mountain Home AFB",
"state": "ID",
"postal_code": "836481062",
"country_code": "US",
"telephone_number": "208-828-7401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Fisher St",
"address_purpose": "LOCATION",
"city": "Biloxi",
"state": "MS",
"postal_code": "395342508",
"country_code": "US",
"telephone_number": "228-376-5571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'AMICO",
"first_name": "NICHOLAS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD, CAPTAIN USAF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-04",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "ID",
"license": "M-15994",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "R80798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.