Individual provider Active NPI

John G. Holm, M.D.

  • Anesthesiology Physician
  • Prescott, AZ
National Provider Identifier
1215927595
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
23298 Issued in AZ
Practice address
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone
(602) 273-6770
Fax
(602) 889-0489
NPI assigned
Oct 26, 2005
Last updated
Dec 6, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 23298 AZ Primary

Addresses

Primary practice location

1003 Willow Creek Rd
Prescott, AZ 86301-1641

Mailing address

PO Box 29211
Phoenix, AZ 85038-9211
Phone (602) 273-6770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000490 AZ Practitioner - Anesthesiology 5193917953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesiology Consultants IncGroup PAC ID 4880591841, 284 clinicians

Practice addresses (Care Compare)

1500 S Dobson Rd
Suite 101
Mesa, AZ 85202-4722
Phone (480) 412-3577

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100

3535 N Scottsdale Rd
Scottsdale, AZ 85251-5625
Phone (480) 882-4365

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Anesthesiology Consultants, Inc. Anesthesiology CurrentSince Apr 1, 2020 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Apr 1, 2019 Accepting new patients
Prescott Anesthesia PLLC Anesthesiology Past Accepting new patients

Locations

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917

3535 N Scottsdale Rd
Scottsdale, AZ 85251
Phone (480) 675-4657

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

2000 E Southern Ave
Ste 102
Tempe, AZ 85282
Phone (480) 820-9141

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1215927595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389211",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011641",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLM",
        "first_name": "JOHN",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "23298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.