Karen Addis, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

10437 Issued in AZ

Practice address

5550 E Hampton St
Tucson, AZ 85712-2919

Phone

(520) 721-8605

Fax

(520) 721-4209

NPI assigned

Feb 14, 2006

Last updated

Jul 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1780658120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 E HAMPTON ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122919",
            "telephone_number": "520-721-8605",
            "fax_number": "520-721-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 E HAMPTON ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122919",
            "telephone_number": "520-721-8605",
            "fax_number": "520-721-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDIS",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "10437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255671",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Adcock
• Joel Addams, M.D.
• Addicted to Recovery LLC
• Addiction Medicine Providers LLC
• Elana B Addis, M.D
• Megan E Addis, M.ED., LAC, NCC
• Stacie Kathleen Addison, R.N.
• Addus Healthcare, Inc. (Addus HomeCare)
• Monaza Adeeb, M.D.
• Nicole Adegbija, NP

• Gynecology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.

Verify at the official NPI Registry.