JOHN IVERSON NPI 1467864470

NPI Information

NPI: 1467864470
Provider Name: JOHN IVERSON
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: PRESCOTT HEALTHCARE SOLUTIONS LLC

PECOS Registration: Yes

Address:
743 MILLER VALLEY RD
PRESCOTT, AZ
ZIP 86301
Phone: (928) 777-9600
Get Directions

John Iverson is a medical physician assistant in Prescott, AZ with 10 years of experience. John Iverson NPI is 1467864470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

743 MILLER VALLEY RD
PRESCOTT, AZ
ZIP 86301
Phone: (928) 777-9600
Fax: (928) 777-9797

The NPI 1467864470 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2014 and was last updated on 7/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	6073	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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