Active NPI
John G. Holm, M.D.
- Anesthesiology Physician
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 23298
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Anesthesiology Consultants, Inc. | Anesthesiology | Current | Accepting new patients |
| Anesthesia Partners of Arizona LLC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285660704
-
- Anesthesiology Physician
- Prescott, AZ
- NPI 1962409185
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
dba HonorHealth Scottsdale Thompson Peak Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
dba HonorHealth Scottsdale Osborn Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.