Active NPI
John R. Markham PC
- Eyewear Supplier
- Chino Valley, AZ
National Provider Identifier
1104090737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- JOHN R. MARKHAM PC
- Practice address
- 399 Palomino Road
Chino Valley, AZ 86323 - Phone
- (928) 636-5504
- Fax
- (928) 636-0780
- NPI assigned
- Apr 15, 2008
- 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
- Dr. Scott Markham, DO
- Title
- Medical Director
- Phone
- (928) 778-3950
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 |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | AZ | Primary |
Addresses
Primary practice location
399 Palomino Road
Chino Valley, AZ 86323
Mailing address
1680 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 778-3950
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033176 | Medicaid | AZ | |
| 15220 | Other | AVESIS | |
| 0384690001 | Other | DMERC OPTICAL SUPPLIER - PRESCOTT | |
| AZ01170 | Other | MEDICARE SUBMITTER ID - PRESCOTT | |
| 5858351 | Other | AETNA | |
| 190721 | Medicaid | AZ | |
| 866291-9714 | Other | HUMANA |
Other names 1
- Prescott Vision & Eye Surgery Center
National Provider Directory
National Provider Directory- Tax ID family
- John R Markham PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Wickenburg, AZ
- NPI 1659513760
-
- Ophthalmology Physician
- Prescott Valley, AZ
- NPI 1932540119
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Prescott, AZ
- NPI 1972688836
-
- Optometrist
- Prescott, AZ
- NPI 1225094550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1104090737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86301",
"telephone_number": "928-778-3950",
"fax_number": "928-778-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 PALOMINO ROAD",
"city": "CHINO VALLEY",
"state": "AZ",
"postal_code": "86323",
"telephone_number": "928-636-5504",
"fax_number": "928-636-0780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN R. MARKHAM PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "MARKHAM",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "928-778-3950",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033176",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "15220",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC OPTICAL SUPPLIER - PRESCOTT",
"identifier": "0384690001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SUBMITTER ID - PRESCOTT",
"identifier": "AZ01170",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5858351",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190721",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "866291-9714",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Prescott Vision & Eye Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chino Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.