Active NPI
Donald Larry Kwasman, DO
- Family Medicine Physician
- Tucson, AZ
National Provider Identifier
1528079126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1711
- Practice address
- 230 W Ajo Way
Golden West Medical Center
Tucson, AZ 85713 - Phone
- (520) 792-1966
- Fax
- (520) 628-8035
- NPI assigned
- Aug 10, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1711 | AZ | Primary |
Addresses
Primary practice location
230 W Ajo Way
Golden West Medical Center
Tucson, AZ 85713
Mailing address
230 W Ajo Way
Golden West Medical Center
Tucson, AZ 85713
Phone (520) 792-1966
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1711 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528079126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 W AJO WAY",
"address_2": "GOLDEN WEST MEDICAL CENTER",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85713",
"telephone_number": "520-792-1966",
"fax_number": "520-628-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W AJO WAY",
"address_2": "GOLDEN WEST MEDICAL CENTER",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85713",
"telephone_number": "520-792-1966",
"fax_number": "520-628-8035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWASMAN",
"first_name": "DONALD",
"middle_name": "LARRY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "1711",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.