Active NPI
Lester D Tukan, MD
- Emergency Medicine Physician
- Phoenix, AZ
National Provider Identifier
1477562874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 16875
- Practice address
- 1111 E McDowell Rd
Phoenix, AZ 85006-2612 - Phone
- (602) 239-6968
- Fax
- (602) 239-4144
- NPI assigned
- Aug 5, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 16875 | AZ | Primary |
Addresses
Primary practice location
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Mailing address
1300 N 12TH St
Suite 301
Phoenix, AZ 85006-2848
Phone (602) 239-6968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107715 | Medicaid | AZ |
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 |
|---|---|---|---|
| 16875 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1477562874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N 12TH ST",
"address_2": "SUITE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062848",
"telephone_number": "602-239-6968",
"fax_number": "602-239-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062612",
"telephone_number": "602-239-6968",
"fax_number": "602-239-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUKAN",
"first_name": "LESTER",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "16875",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107715",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.