MEDICARE: JASON L STEMMER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207UN0901X	Nuclear Cardiology Physician	15516	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
13	360004138	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	22674	OTHER	AZ	PREFERRED HEALTH NETWORK
2	10055690	OTHER	AZ	PPO NEXT
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	87660	OTHER	AZ	FIRST HEALTH
5	100668	OTHER	AZ	ONE HEALTH
6	1Z2849	OTHER	AZ	HEALTH NET
7	5033185	OTHER	AZ	CCN
8	AZ0860410	OTHER	AZ	BCBS OF ARIZONA
9	38-00005	OTHER	AZ	UNITED HEALTHCARE
10	4140	OTHER	AZ	ARIZONA MEDICAL NETWORK
11	005502302	OTHER	AZ	CIGNA
12	2591552	OTHER	AZ	GHI
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	4663616	OTHER	AZ	AETNA

General Provider Information

NPI Number	:	1366445280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON L STEMMER MD

Provider Business Mailing Address
First Line	:	6080 N LA CHOLLA BLVD # 200
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3533
Country	:	US
Telephone Number	:	520-797-8550
Fax Number	:	520-797-6986

Provider Business Practice Location Address
First Line	:	6080 N LA CHOLLA BLVD # 200
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3533
Country	:	US
Telephone Number	:	520-797-8550
Fax Number	:	520-797-6986

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	02/22/2011

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