Active NPI
Ammon Lambson, PA-C
- Physician Assistant
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3722
- Practice address
- 2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234-2171 - Phone
- (480) 964-2908
- Fax
- (480) 833-2136
- NPI assigned
- Oct 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3722 | AZ | Primary |
Addresses
Primary practice location
2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234-2171
Mailing address
PO Box 29870
Phoenix, AZ 85038-9870
Phone (602) 772-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887372 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1595 Yellowstone Ave
Pocatello, ID 83201-4203
Phone (208) 233-0032
3720 Woodking Dr
Idaho Falls, ID 83404-4720
Phone (208) 227-1100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3722 | AZ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopaedics Management and Consulting, LLC | Current | Accepting new patients |
Locations
3720 Woodking Dr
Idaho Falls, ID 83404
Phone (208) 227-1100
2321 Coronado St
Idaho Falls, ID 83404
Phone (208) 227-1100
1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Idaho Falls, ID
- NPI 1851485031
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1912195041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29870",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850389870",
"telephone_number": "602-772-3800",
"fax_number": "602-772-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 E BANNER GATEWAY DR",
"address_2": "STE 200",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342171",
"telephone_number": "480-964-2908",
"fax_number": "480-833-2136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBSON",
"first_name": "AMMON",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-15",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887372",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.