Active NPI
John S Polson, MD
- Anesthesiology Physician
- Oro Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20861
- Practice address
- 1551 E Tangerine Road
Attn Medical Staff Services
Oro Valley, AZ 85755 - Phone
- (520) 901-3559
- Fax
- (520) 901-3642
- NPI assigned
- Oct 18, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 20861 | AZ | Primary |
Addresses
Primary practice location
1551 E Tangerine Road
Attn Medical Staff Services
Oro Valley, AZ 85755
Mailing address
Oro Valley Anesthesia PLLC Dept 9538
Los Angeles, CA 90084-9538
Phone (520) 529-0313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117772 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Wright State University Boonshoft School of Medicine, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12995 N Oracle Rd St 141 Box
Suite 411
Tucson, AZ 85739-9523
1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4633
2550 Sweet Bay CT
Broadview HTS, OH 44147-3667
525 W Brown Rd
Mesa, AZ 85201-3202
7060 N Finger Rock PL
Tucson, AZ 85718-1404
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest HBP Medical Services LLC | Current | Accepting new patients |
Locations
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
2121 N Craycroft Rd
Bldg 8
Tucson, AZ 85712
Phone (520) 230-7156
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Oro Valley Hospital
- General Acute Care Hospital
- Oro Valley, AZ
- NPI 1386697688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486684800000",
"number": "1629159363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ORO VALLEY ANESTHESIA PLLC DEPT 9538",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900849538",
"telephone_number": "520-529-0313",
"fax_number": "520-901-3642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 E TANGERINE ROAD",
"address_2": "ATTN MEDICAL STAFF SERVICES",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "85755",
"telephone_number": "520-901-3559",
"fax_number": "520-901-3642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLSON",
"first_name": "JOHN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "20861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117772",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oro Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.