Active NPI
James M Gillard, M.D.
- Emergency Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 10084
- Practice address
- 630 N Alvernon Way
Suite 250
Tucson, AZ 85711-1843 - Phone
- (520) 647-8854
- Fax
- (520) 647-8851
- NPI assigned
- Jul 21, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 10084 | AZ | Primary |
Addresses
Primary practice location
630 N Alvernon Way
Suite 250
Tucson, AZ 85711-1843
Mailing address
630 N Alvernon Way
Suite 250
Tucson, AZ 85711-1843
Phone (520) 647-8854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199431 | Medicaid | AZ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benson Hospital Corporation | Current | Accepting new patients | |
| Nes Arizona Inc | Emergency Medicine | Current | Accepting new patients |
| Benson Hospital Corporation | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Arizona, Inc. | Emergency Medicine | Current | Accepting new patients |
| Nes Arizona Inc | Emergency Medicine | Current | Accepting new patients |
| Banner-University Medical Group | Emergency Medicine | Past | Accepting new patients |
| Emergency Room Associates | Past | Accepting new patients |
Locations
450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
7300 State Highway 121
Ste 374
McKinney, TX 75070
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Sierra Vista, AZ
- NPI 1700328663
AZ, Emergency Medicine
-
- Rural Health Clinic/Center
- Vail, AZ
- NPI 1457924920
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Emergency Medicine
-
- Physician Assistant
- Tucson, AZ
- NPI 1457576068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1730189655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 N ALVERNON WAY",
"address_2": "SUITE 250",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111843",
"telephone_number": "520-647-8854",
"fax_number": "520-647-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 N ALVERNON WAY",
"address_2": "SUITE 250",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111843",
"telephone_number": "520-647-8854",
"fax_number": "520-647-8851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLARD",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "10084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199431",
"state": "AZ"
}
],
"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 Feb 17, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.