Michael Thomas Ammann, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2536 Issued in AZ

Practice address

1055 E la Canada, Ste 135
Green Valley, AZ 85614

Phone

(520) 625-3230

Fax

(520) 625-9162

NPI assigned

Dec 22, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• Sun Life Family Health Center, Inc.

  dba Sun Life Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Eloy, AZ
  • NPI 1588876429
  NPD (past)
• Sun Life Family Health Center, Inc.

  dba Sun Life Family Health Center-Florence

  • Federally Qualified Health Center (FQHC)
  • Florence, AZ
  • NPI 1902278252
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932264843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD",
            "address_2": "STE A100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-382-1205",
            "fax_number": "520-795-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 E LA CANADA, STE 135",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "85614",
            "telephone_number": "520-625-3230",
            "fax_number": "520-625-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMANN",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "485767",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alix Phillips, DMD, Inc. (Dental Artistry)
• Anthony Alexander Allen, C. PED.
• Anne Marie Almoite Almirol, PT
• Alvernon Optical, Inc.
• American Foot Care Clinic PLLC
• Ruby Alicia Araujo Espinoza
• Arizona Advanced Surgical Associates LLC
• Arizona Blood and Cancer Specialists, PLLC
• Arizona Cardiovascular Specialists, PC (The Heart Center of Southern Arizona)
• Arizona CVS Stores LLC (CVS Pharmacy 09254)

• Family Medicine Physician in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.