Active NPI
James D. Eliason, M.D.
- Family Medicine Physician
- Prescott, AZ
National Provider Identifier
1962421438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23649
- Practice address
- 264 Whisper RDG
Prescott, AZ 86301-4210 - Phone
- (928) 925-2463
- NPI assigned
- Jul 18, 2006
- Last updated
- Dec 11, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23649 | AZ | Primary |
Addresses
Primary practice location
264 Whisper RDG
Prescott, AZ 86301-4210
Mailing address
PO Box 2032
Prescott, AZ 86302-2032
Phone (928) 443-5005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23649 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Health Partners-Verde Valley PLC | Past | Accepting new patients | |
| Willard Emergency Physicians | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Cottonwood, AZ
- NPI 1023253432
-
- Emergency Medicine Physician
- Cottonwood, AZ
- NPI 1598714743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1962421438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2032",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863022032",
"telephone_number": "928-443-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 WHISPER RDG",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863014210",
"telephone_number": "928-925-2463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIASON",
"first_name": "JAMES",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "23649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.