Emergency Room Associates

Organization Active NPI Physician Assistant · Tucson, AZ

NPI 1457576068 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1457576068
Entity type
Organization (NPI type 2)
Primary specialty
Physician Assistant 363A00000X
License
3202 (AZ)
Legal business name
EMERGENCY ROOM ASSOCIATES
Practice address
350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone
(520) 647-8850
NPI assigned
Apr 17, 2007
Organization subpart
No

Authorized official

Name
Kim Evans
Title
Office Manager
Phone
(520) 647-8854

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 71

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X 3202 AZ Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X 2249 AZ

Addresses

Primary practice location

350 N Wilmot Rd
Tucson, AZ 85711-2602

Mailing address

PO Box 12730
Tucson, AZ 85732-2730
Phone (520) 647-8850

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457576068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12730",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857322730",
            "telephone_number": "520-647-8850",
            "fax_number": "520-647-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112602",
            "telephone_number": "520-647-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY ROOM ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-647-8854"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3202",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

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Sources for this page

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