DR. BERTRAM LLEWELLYN PROSSER (NPI# 1265745913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265745913 |
| Entity Type | Individual |
| Full Name | DR. BERTRAM LLEWELLYN PROSSER |
| Credential | M.D. |
| Practice Address |
2800 E Ajo Way Tucson AZ 85713-6204 |
| Practice Telephone | 5208742000 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2014-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
R72312 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2800 E AJO WAY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033105002 | Andrzej Honory | Psychiatry & Neurology | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2005-09-23 |
| 1962002584 | Carly Rae Moskowitz | Student in an Organized Health Care Education/Training Program | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-11-01 |
| 1730794207 | Rachel Ramirez | Nurse Practitioner | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-09-11 |
| 1356953954 | Johnathan Mougin | Registered Nurse | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-08-17 |
| 1689282279 | Armaan Dhaliwal | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-07-20 |
| 1881212264 | Anas Husni Mohamad Abu Assi | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-07-11 |
| 1801413620 | Niharika Vennelaganti | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713 | 2020-06-26 |
| 1134740970 | Anirudh Tadakamalla | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-05-04 |
| 1225659287 | Sakher Yousef Mahmoud Sarairah | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-04-30 |
| 1578184537 | Brian Schiffman | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275503328 | David J. Orringer | Emergency Medicine | 3611 N Campbell Ave, Urgent Care Extra, Tucson, AZ 85719-1534 | 2006-01-23 |
| 1497253850 | Monica Olson | Emergency Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-01-30 |
| 1720422694 | Steven Craig Irving | Emergency Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2013-04-23 |
| 1003152117 | Arizona Emergency Medical Services Pllc | Emergency Medicine | 6561 E Carondelet Dr, Tucson, AZ 85710-2156 | 2012-12-17 |
| 1316291917 | David J Orringer Do PC | Emergency Medicine | 5656 E Grant Rd, Suite 100, Tucson, AZ 85712-2210 | 2012-11-04 |
| 1144450131 | Jeremy Clyde Racey | Emergency Medicine | 6200 N La Cholla Blvd, Tucson, AZ 85741-3529 | 2009-07-23 |
| 1821125618 | George A Truckenmiller | Emergency Medicine | 839 W Congress St, Tucson, AZ 85745-2819 | 2007-02-27 |
| 1144259391 | Angela Gloria Manansala | Emergency Medicine | 5861 N Oracle Rd, Tucson, AZ 85704-3813 | 2006-07-01 |
| 1396772976 | Rick Anderson | Emergency Medicine | 2424 N Wyatt Dr Ste 100, Tucson, AZ 85712 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679354 | Arizona Hospitalists, Pllc | Emergency Medicine | 10255 N 43rd St, Phoenix, AZ 85028-4108 | 2020-08-14 |
| 1154898435 | Phoenix Physician Group, LLC | Emergency Medicine | 3430 N. Mountain Ridge, Unit 14, Mesa, AZ 85207 | 2018-10-25 |
| 1205328382 | Darren Keith Johnson | Emergency Medicine | 601 El Dorado St, Kingman, AZ 86401-6224 | 2018-06-04 |
| 1396259636 | Fire Medical Billing, LLC | Emergency Medicine | 207 N Gilbert Rd Ste 1, Gilbert, AZ 85234-5812 | 2017-11-22 |
| 1427570753 | Buckskin Fire District | Emergency Medicine | 8500 Riverside Dr, Parker, AZ 85344-7001 | 2017-07-07 |
| 1699040824 | Jennifer Leigh Hissett | Emergency Medicine | Corner of Route N 7 and N 12, Fort Defiance, AZ 86504-0589 | 2012-03-21 |
| 1649478967 | Genna M Cammarata | Emergency Medicine | 36050 N 58th St, Cave Creek, AZ 85331-9162 | 2007-07-09 |
| 1861566226 | Peggy Jean Englebrake | Emergency Medicine | Hwy 160 163, Building Ka2010, Kayenta, AZ 86033-0368 | 2006-11-20 |
| 1285708172 | William Fowler Fulton Jr. | Emergency Medicine | 2557 S Val Vista Dr, Gilbert, AZ 85295-6229 | 2006-11-20 |
| 1477641991 | Lincoln Physician Billing, LLC | Emergency Medicine | 2500 W Utopia Rd Ste 100, Phoenix, AZ 85027-4172 | 2006-10-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.