Active NPI
Jonathan B Light, M. D.
- Family Medicine Physician
- Tucson, AZ
National Provider Identifier
1902009269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 43489
- Practice address
- 5369 S Calle Santa Cruz Ste 145
Tucson, AZ 85706-3963 - Phone
- (520) 573-7500
- Fax
- (520) 573-7557
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 43489 | AZ | Primary |
| Family Medicine Physician | 207Q00000X | E-6608 | AR |
Addresses
Primary practice location
5369 S Calle Santa Cruz Ste 145
Tucson, AZ 85706-3963
Mailing address
3111 W Painted Hills Ranch CT
Tucson, AZ 85745-3807
Phone (520) 850-7994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-6608 | AR | MD | Family Medicine Physician |
| 43489 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix Area | Past | Accepting new patients | |
| Nextcare Arizona I JV LLC | Past | Accepting new patients | |
| Arkansas Emergency Staffing Solutions, Inc | Past | Accepting new patients | |
| West Leslie ER Physicians LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1275774630
-
- Federal Public Health Clinic/Center
- Havasu Lake, CA
- NPI 1396022026
-
- Emergency Medicine Physician
- Nashville, AR
- NPI 1992754568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1902009269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 W PAINTED HILLS RANCH CT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857453807",
"telephone_number": "520-850-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5369 S CALLE SANTA CRUZ STE 145",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857063963",
"telephone_number": "520-573-7500",
"fax_number": "520-573-7557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHT",
"first_name": "JONATHAN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "43489",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-6608",
"primary": false
}
],
"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 Nov 27, 2013; 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.