Individual provider Active NPI

John S Polson, MD

  • Anesthesiology Physician
  • Oro Valley, AZ
National Provider Identifier
1629159363
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20861 Issued in AZ
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

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
117772MedicaidAZ

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
Green means eligible to order or refer.

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

OrganizationSpecialtyStatusNew patients
Northwest HBP Medical Services LLC CurrentSince Sep 17, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.