Organization Active NPI

John V. Battersby D.O., P.L.L.C.

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1205264777
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2209 Issued in AZ
Legal business name
JOHN V. BATTERSBY D.O., P.L.L.C.
Practice address
7550 N 19TH Ave
103
Phoenix, AZ 85021-7980
Phone
(602) 995-5909
Fax
(602) 864-9233
NPI assigned
Oct 21, 2013
Last updated
Oct 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Dr. John Vincent Battersby, D.O.
Title
Physician
Phone
(602) 995-5909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2209 AZ Primary

Addresses

Primary practice location

7550 N 19TH Ave
103
Phoenix, AZ 85021-7980

Mailing address

7550 N 19TH Ave
103
Phoenix, AZ 85021-7980
Phone (602) 995-5909

Other identifiers 1

IdentifierTypeStateIssuer
259263MedicaidAZ

Other names 1

  • John V. Battersby Former legal business name

National Provider Directory

National Provider Directory

Locations

7550 N 19th Ave
Ste 103
Phoenix, AZ 85021
Phone (602) 684-8486

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1205264777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 N 19TH AVE",
            "address_2": "103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217980",
            "telephone_number": "602-995-5909",
            "fax_number": "602-864-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 N 19TH AVE",
            "address_2": "103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217980",
            "telephone_number": "602-995-5909",
            "fax_number": "602-864-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN V. BATTERSBY D.O., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "BATTERSBY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-995-5909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "2209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259263",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John V. Battersby",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.