Individual provider Active NPI

Jonathan B Light, M. D.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1902009269
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43489 Issued in AZ
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

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-6608ARMDFamily Medicine Physician
43489AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.