JOHN IVERSON


Address: 743 Miller Valley Rd, Prescott, AZ 86301
Phone: 9287779600

JOHN IVERSON (NPI# 1467864470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467864470
Entity Type Individual
Full Name JOHN IVERSON
Practice Address 743 Miller Valley Rd
Prescott
AZ 86301
Mailing Address 743 Miller Valley Rd
Prescott
AZ 86301-1813
Practice Telephone 9287779600
Practice Fax Number 9287779797
Mailing Telephone 9287779600
Mailing Fax Number 9287779797
Enumeration Date 2014-05-24
Last Update Date 2018-07-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
6073 AZ Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1400 E Boulder St, Colorado Springs, CO 809095533 7193652001

Other Providers JOHN IVERSON

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1508817586 John Paul Iverson Dentist 509 16th Ave Sw, Willmar, MN 56201-4118 2006-05-13
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Office Location

Street Address 743 MILLER VALLEY RD
City PRESCOTT
State AZ
Zip Code 86301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821454505 Prescott Healthcare Solutions LLC Clinic/Center 743 Miller Valley Rd, Prescott, AZ 86301-1813 2016-01-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871102350 Dove Marie Gundermann Specialist/Technologist 300 W. Gurley St, Prescott, AZ 86301 2020-07-30
1639712110 Arizona Orthopedic Physical Therapy, Pllc Clinic/Center 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 2019-10-28
1538714092 Prescott Complete Care Family Medicine 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 2019-08-01
1336612571 Sarah Elizabeth Elliott Registered Nurse 500 Az 89, Prescott, AZ 86301 2019-01-10
1912484270 Asya Ruth Perkins Counselor 225 Grove Avenue, Prescott, AZ 86301 2018-07-19
1396241394 Jerome Alexander Longoria Chiropractor 142 N. Rush St, Prescott, AZ 86301 2018-03-30
1619487675 Yavapai Healthcare Group LLC Nurse Practitioner 999 Division Street, Prescott, AZ 86301 2017-10-04
1053835843 United States Veterans Initiative Counselor 917 E Gurley St, Prescott, AZ 86301 2017-08-02
1164896999 Spitler - Lilley, LLC Hearing Instrument Specialist 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 2015-11-17
1275925265 Oral and Facial Surgery Center of Prescott Dentist 5415 Distiction Way, Prescott, AZ 86301 2015-02-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639198781 Keith A Plamondon Physician Assistant 802 Ainsworth Dr Ste B&c, Prescott, AZ 86301-1623 2006-07-19
1407194954 Jimmie S Ward Sr. Physician Assistant 125 Washington Ave, Prescott, MI 48756-5117 2013-01-17
1518217447 Jennifer Cougill Physician Assistant 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2012-09-18
1659558849 Oaklawn Lc Physician Assistant 1672 Oaklawn Dr, Prescott, AZ 86305-1106 2008-01-30
1437347804 Melinda Ann Rawcliffe Physician Assistant 1001 Division St, Prescott, AZ 86301-1601 2007-10-10
1043243801 Matthew Alexander Namihas Physician Assistant 802 Ainsworth Dr, Suite A, Prescott, AZ 86301-1623 2006-07-07
1720028095 Jeremy D. Platt Physician Assistant 1001 Division St, Prescott, AZ 86301-1618 2006-06-07
1659338507 Rosemarie S Vedda Physician Assistant 500 N Us Highway 89, Prescott, AZ 86313-5001 2006-04-26
1477513562 Don K Larue Physician Assistant 500 Hwy 89 North, Prescott, AZ 86313 2006-03-24
1659331833 Daniel Lee Moffat Physician Assistant 500 N Us Highway 89, Prescott, AZ 86313-5001 2006-03-23
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Competitor

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City PRESCOTT
Zip Code 86301

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Dataset Information

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.

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