Active NPIIndividual providerSole proprietor

John C Avery, DO

Family Medicine in Tempe, Arizona

NPI Number1588613707
Practice location
1840 E Broadway RD, Tempe, AZ 85282-1614
Fax
480-927-1092
Last updated
October 1, 2020

John C Avery is a Family Medicine based in Tempe, AZ. John C Avery practices in Tempe, AZ and has the professional credentials of DO. The NPI Number for John C Avery is 1588613707 and holds a License No. 12048 (NH). The current practice location address for John C Avery is 1840 E Broadway RD, Tempe, AZ 85282-1614 and can be reached out via phone at 602-243-7277 and via fax at 480-927-1092.

Provider Profile Details

NPI Number
1588613707
Provider Name
John C Avery
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1840 E Broadway RD, Tempe, AZ 85282-1614
Phone Number
602-243-7277
Fax Number
480-927-1092
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 6, 2006
Last Update Date
October 1, 2020
Certification Date
October 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1840 E Broadway RD
Tempe, AZ 85282-1614
City
Tempe
State
Arizona
Zip
85282-1614
Phone Number
602-243-7277
Fax Number
480-927-1092
Tempe, AZ 85282Get directions →

Provider Business Mailing Address Details

Address
3003 N Central Ave Ste 1600
Phoenix, AZ 85012-2908
City
Phoenix
State
AZ
Zip
85012-2908
Phone Number
602-323-3344
Fax Number
602-323-3496

License Information

License Number (1)
12048
License State (1)
NH
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
4409
License State (2)
AZ
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John C Avery, DO?

The NPI number of John C Avery, DO is 1588613707. It was assigned on May 6, 2006 and is currently active in the NPPES registry.

What is the specialty of John C Avery, DO?

John C Avery, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NH under license number 12048.

Where does John C Avery, DO practice?

The practice location is 1840 E Broadway RD, Tempe, AZ 85282-1614. The office can be reached at 602-243-7277 (phone) or 480-927-1092 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588613707 directly on the NPPES registry website.

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