John B Giedraitis, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

9901 Issued in AZ

Practice address

6305 N Mockingbird LN
Paradise Valley, AZ 85253-5313

Phone

(480) 985-1093

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John B Giedraitis MD PC

  • Surgery Physician
  • Paradise Valley, AZ
  • NPI 1356436224
  NPD (past) Authorized official
• Larry F Pass MD PC

  • Gastroenterology Physician
  • Scottsdale, AZ
  • NPI 1194736835
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1063507929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7133",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852167133",
            "telephone_number": "480-985-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 N MOCKINGBIRD LN",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535313",
            "telephone_number": "480-985-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIEDRAITIS",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "9901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224832",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0007450",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Z0566",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack A Friedland, M.D.
• Elizabeth Louise Garrett, PT
• Marilyn Rea Geninatti, MD
• Michael Asher Gentry, LCSW
• Farid Ghebleh, MD
• Robert Goodhue Jr., PHARMD
• William Fredrick Graham, RN
• Kathleen C. Green Naughton, DMD
• Carole Bresnahan Griego, MD
• Mark Gruszynski, M.D.

• Surgery Physician in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.