Active NPI
Fred S Markham MD PC
- Internal Medicine Physician
- Prescott, AZ
National Provider Identifier
1073545240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FRED S MARKHAM MD PC
- Practice address
- 804 Ainsworth Dr
Suite 104
Prescott, AZ 86301-1624 - Phone
- (928) 778-1736
- Fax
- (928) 717-0785
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fred S Markham, MD
- Title
- Owner President
- Phone
- (928) 778-1736
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
804 Ainsworth Dr
Suite 104
Prescott, AZ 86301-1624
Mailing address
PO Box 20490
Mesa, AZ 85277-0490
National Provider Directory
National Provider DirectoryLocations
804 Ainsworth Dr
Ste 104
Prescott, AZ 86301
Phone (928) 778-1736
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Prescott, AZ
- NPI 1679538995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191283200000",
"number": "1073545240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20490",
"city": "MESA",
"state": "AZ",
"postal_code": "852770490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 AINSWORTH DR",
"address_2": "SUITE 104",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011624",
"telephone_number": "928-778-1736",
"fax_number": "928-717-0785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED S MARKHAM MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2007-10-02",
"status": "A",
"authorized_official_last_name": "MARKHAM",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "928-778-1736",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.