Individual provider Active NPI

Anthony Llewellyn, MD

  • Emergency Medicine Physician
  • Willcox, AZ
National Provider Identifier
1831143700
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
8835 Issued in AZ
Practice address
901 W Rex Allen Dr
Willcox, AZ 85643-1009
Phone
(800) 444-7009
NPI assigned
May 22, 2006
Last updated
Apr 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 8835 AZ Primary

Addresses

Primary practice location

901 W Rex Allen Dr
Willcox, AZ 85643-1009

Mailing address

5782 N Placita Deleite
Tucson, AZ 85750-6081

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
I20041110001236 AZ Practitioner - Emergency Medicine 9436112372 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Cochise Community Hospital Inc Current Accepting new patients
Nes Arizona Inc Emergency Medicine Current Accepting new patients
Nes Arizona Inc Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Benson Hospital Corporation CurrentSince Dec 18, 2011 Accepting new patients
Benson Hospital Corporation CurrentSince Dec 18, 2011 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 29, 2022 Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients
Stronghold Emergency Physicians Emergency Medicine Past Accepting new patients
Az Corridor Emergency Physicians Emergency Medicine Past Accepting new patients
Swea, P.C. Emergency Medicine Past Accepting new patients
Saguaro Emergency Physicians Emergency Medicine PastSince May 15, 2011 Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients
Ringtail Emergency Physicians Emergency Medicine 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

4455 S I 19 Frontage Rd
Green Valley, AZ 85614
Phone (520) 393-4700

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

901 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 384-3541

7300 State Highway 121
Ste 374
McKinney, TX 75070

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1831143700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5782 N PLACITA DELEITE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857506081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W REX ALLEN DR",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431009",
            "telephone_number": "800-444-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLEWELLYN",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "8835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willcox, AZ

Sources for this page

Verify at the official NPI Registry.