Individual provider Active NPI

Donald Lee Hair, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1679842876
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5062 Issued in AZ
Practice address
1704 W Anklam Rd
Suite 108
Tucson, AZ 85745-2656
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
Dec 19, 2011
Last updated
Jul 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5062 AZ Primary

Addresses

Primary practice location

1704 W Anklam Rd
Suite 108
Tucson, AZ 85745-2656

Mailing address

5281 N 99TH Ave
Suite 100
Glendale, AZ 85305-3105
Phone (623) 516-8252

Other identifiers 1

IdentifierTypeStateIssuer
5062OtherAZ5062-AZ PA LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000929 AZ Practitioner - Physician Assistant 5991963035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Pain Center of Arizona, PCGroup PAC ID 0749183325, 13 clinicians

Practice addresses (Care Compare)

1704 W Anklam Rd
Suite 108
Tucson, AZ 85745-2656
Phone (623) 516-8252

3645 S Rome St
Suite 216
Gilbert, AZ 85297-7338
Phone (623) 516-8252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5062AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Pain Center of Arizona, PC CurrentSince Jul 6, 2015 Accepting new patients
Pain Center of Arizona PC CurrentSince Jul 6, 2015 Accepting new patients
Ucxtra Umbrella, LLC Past Accepting new patients

Locations

825 S Watson Rd
Ste 107
Buckeye, AZ 85326
Phone (602) 492-9919

895 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 899-3737

3645 S Rome St
Ste 216
Gilbert, AZ 85297
Phone (480) 656-4220

5281 N 99th Ave
Ste 100
Glendale, AZ 85305
Phone (623) 241-6152

9401 W Thunderbird Rd
Ste 180
Peoria, AZ 85381
Phone (623) 241-6160

20333 N 19th Ave
Ste 100
Phoenix, AZ 85027

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

9250 W Thomas Rd
Ste 200
Phoenix, AZ 85037

3110 Clearwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 237-9312

21321 E Ocotillo Rd
Ste 126
Queen Creek, AZ 85142
Phone (480) 245-6288

17500 N Perimeter Dr
Ste 100
Scottsdale, AZ 85255

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437177600000",
    "number": "1679842876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053105",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W ANKLAM RD",
            "address_2": "SUITE 108",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452656",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIR",
        "first_name": "DONALD",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2015-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5062-AZ PA LICENSE",
            "identifier": "5062",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.