Individual provider Active NPI

Gregory G. Ames, M.D.

  • Emergency Medicine Physician
  • Gold Canyon, AZ
National Provider Identifier
1750330056
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
33416 Issued in AZ
Practice address
5301 S Superstition Mountain Dr
Suite 104-476
Gold Canyon, AZ 85218-1919
Phone
(480) 288-9250
NPI assigned
May 6, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2004-0605 NM
Emergency Medicine Physician 207P00000X 33416 AZ Primary

Addresses

Primary practice location

5301 S Superstition Mountain Dr
Suite 104-476
Gold Canyon, AZ 85218-1919

Mailing address

5301 S Superstition Mountain Dr
Suite 104-476
Gold Canyon, AZ 85218-1919
Phone (480) 288-9250

Other identifiers 1

IdentifierTypeStateIssuer
85379051MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33416AZMDEmergency Medicine Physician
2004-0605NMMDEmergency Medicine Physician
044034GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lea Emergency Group LLC Emergency Medicine Past Accepting new patients
Casa Grande Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Mountain Vista Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750330056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 S SUPERSTITION MOUNTAIN DR",
            "address_2": "SUITE 104-476",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "852181919",
            "telephone_number": "480-288-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 S SUPERSTITION MOUNTAIN DR",
            "address_2": "SUITE 104-476",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "852181919",
            "telephone_number": "480-288-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMES",
        "first_name": "GREGORY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "2004-0605",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "33416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85379051",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Canyon, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.