Individual provider Active NPI

Stephen Dahmer, M.D.

  • Integrative Medicine Physician
  • Tucson, AZ
National Provider Identifier
1508956798
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
72250 Issued in AZ
Practice address
6860 E Sunrise Dr Ste 100
Tucson, AZ 85750-0733
Phone
(520) 694-1042
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 239225 NY
Integrative Medicine Physician 202D00000X 72250 AZ Primary

Addresses

Primary practice location

6860 E Sunrise Dr Ste 100
Tucson, AZ 85750-0733

Mailing address

6860 E Sunrise Dr Ste 100
Tucson, AZ 85750-0733
Phone (520) 694-1042

Other identifiers 1

IdentifierTypeStateIssuer
239225OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180522002081 NY Practitioner - Family Practice 3971651159 Reassigns benefits to 1 organization
I20240701000862 AZ Practitioner - Family Practice 3971651159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

6860 E Sunrise Dr
Suite 100
Tucson, AZ 85750-0733
Phone (520) 694-1042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72250AZMDIntegrative Medicine Physician
239225NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Apr 19, 2024 Accepting new patients
Banner-University Medical Group Family Medicine Current Accepting new patients
Scarsdale Integrative Family Medicine PLLC Family Medicine CurrentSince Apr 30, 2018 Accepting new patients
Banner-University Medical Group CurrentSince Apr 19, 2024 Accepting new patients

Locations

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

3838 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-2873

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

2945 W Ina Rd
Ste 121
Tucson, AZ 85741
Phone (520) 694-7601

6860 E Sunrise Dr
Ste 100
Tucson, AZ 85750
Phone (520) 404-8710

2 Overhill Rd
Ste 260
Scarsdale, NY 10583
Phone (914) 722-9440

Organizations & group practices 4

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1508956798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 E SUNRISE DR STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500733",
            "telephone_number": "520-694-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 E SUNRISE DR STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500733",
            "telephone_number": "520-694-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHMER",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "239225",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "AZ",
            "license": "72250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "239225",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.