Active NPI
Jonathan S Ehrhardt, M.D.
- Diagnostic Radiology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35414
- Practice address
- 1501 N Campbell Ave
Dept. of Radiology
Tucson, AZ 85724-5067 - Phone
- (520) 626-7402
- Fax
- (520) 626-2941
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35414 | AZ | Primary |
Addresses
Primary practice location
1501 N Campbell Ave
Dept. of Radiology
Tucson, AZ 85724-5067
Mailing address
3970 N River Bluff PL
Tucson, AZ 85750-2057
Phone (520) 290-1105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health System Corporation
Practice addresses (Care Compare)
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6508
1038 E Geneva St
Delavan, WI 53115-1921
Phone (262) 728-4301
217 N Main St
Edgerton, WI 53534-1613
Phone (608) 884-9431
2310 1St Ctr Ave
Brodhead, WI 53520-1937
Phone (608) 897-8664
2825 Prairie Ave
Beloit, WI 53511-1844
Phone (608) 363-5500
300 Union St
Evansville, WI 53536-1175
Phone (608) 882-5613
3400 Deerfield Dr
Janesville, WI 53546-3557
Phone (608) 314-3660
350 Peller Rd
Lake Geneva, WI 53147-4543
Phone (262) 249-0221
352 Peller Rd
Lake Geneva, WI 53147-4543
Phone (262) 248-4467
3524 E Milwaukee St
Janesville, WI 53546-1626
Phone (608) 756-7100
507 W Main St
Whitewater, WI 53190-1852
Phone (262) 473-0400
519 W Main St
Whitewater, WI 53190-1852
Phone (262) 473-0410
557 N Washington St
Janesville, WI 53548-2907
Phone (608) 755-7880
725 S Janesville St
Milton, WI 53563-1775
Phone (608) 868-5800
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000
849 Kellogg Ave
Janesville, WI 53546-2808
Phone (608) 755-7960
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
N2950 State Rd
Suite 67
Lake Geneva, WI 53147-2655
Phone (608) 756-7100
Hospital & facility affiliations
- Mercy Health System Corp
- Mercy Walworth Hospital & Medical Center
- Javon Bea Hospital
- Mercyhealth Hospital & Physician Clinic-Crystal la
- Edgerton Hospital and Health Services
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35414 | AZ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
Interoperability endpoints
- jehrhardt1927@direct.mhemail.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Edgerton, WI
- NPI 1154350049
-
- Family Medicine Physician
- Milton, WI
- NPI 1326192261
Hospital
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
- General Acute Care Hospital
- Crystal Lake, IL
- NPI 1023754371
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639205289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3970 N RIVER BLUFF PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857502057",
"telephone_number": "520-290-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N CAMPBELL AVE",
"address_2": "DEPT. OF RADIOLOGY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857245067",
"telephone_number": "520-626-7402",
"fax_number": "520-626-2941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRHARDT",
"first_name": "JONATHAN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "35414",
"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.
- 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.