Individual provider Active NPI

John William McGettigan Jr., M.D.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1679637342
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12606 Issued in AZ
Practice address
5350 E Erickson Dr
Tucson, AZ 85712-2822
Phone
(520) 733-2250
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12606 AZ Primary

Addresses

Primary practice location

5350 E Erickson Dr
Tucson, AZ 85712-2822

Mailing address

5350 E Erickson Dr
Tucson, AZ 85712-2822
Phone (520) 733-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040909000658 AZ Practitioner - General Practice 9931093176 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12606AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Medical Centers, LLC CurrentSince Jun 1, 2003 Accepting new patients
Emergency Room Associates Limited Past Accepting new patients
Annie Mae PastSince Jul 1, 1999 Accepting new patients

Locations

5390 E Erickson Dr
Tucson, AZ 85712
Phone (520) 314-1545

5350 E Erickson Dr
Tucson, AZ 85712
Phone (520) 624-8935

6390 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 284-7949

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679637342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 E ERICKSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122822",
            "telephone_number": "520-733-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 E ERICKSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122822",
            "telephone_number": "520-733-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGETTIGAN",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "12606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.