Active NPI
Lisa Anne Tarris, MD
- Emergency Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 44108
- Practice address
- 1601 W. St. Mary'S Rd
Room 1107G West Wing
Tucson, AZ 85745-2623 - Phone
- (520) 872-3000
- Fax
- (919) 966-0290
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 44108 | AZ | Primary |
Addresses
Primary practice location
1601 W. St. Mary'S Rd
Room 1107G West Wing
Tucson, AZ 85745-2623
Mailing address
630 N. Alvernon Way
Suite 220
Tucson, AZ 85711-0000
Phone (520) 647-8850
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44108 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians Emergency Medicine of Arizona, Inc. | Emergency Medicine | Current | Accepting new patients |
| Cep America-Arizona LLP | Emergency Medicine | Current | Accepting new patients |
| Neuse River Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Associates of North Carolina, P.C. | Emergency Medicine | Past | Accepting new patients |
| Emergency Room Associates | Past | Accepting new patients |
Locations
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
1601 W Saint Marys Rd
Rm 1107G
Tucson, AZ 85745
Phone (520) 872-3000
7401 S Wilmot Rd
Tucson, AZ 85756
Phone (520) 493-0499
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
5620 W Cortaro Farms Rd
Tucson, AZ 85742
Phone (520) 872-4000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1851552368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 N. ALVERNON WAY",
"address_2": "SUITE 220",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857110000",
"telephone_number": "520-647-8850",
"fax_number": "520-647-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 W. ST. MARY'S RD",
"address_2": "ROOM 1107G WEST WING",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452623",
"telephone_number": "520-872-3000",
"fax_number": "919-966-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARRIS",
"first_name": "LISA",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "44108",
"primary": true
}
],
"identifiers": [],
"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 Apr 15, 2011; 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.