John A. Ebner, D.O.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

4767 Issued in AZ

Practice address

2224 W Northern Ave Ste D300
Phoenix, AZ 85021-5099

Phone

(602) 277-1449

Fax

(602) 277-9984

NPI assigned

Aug 17, 2007

Last updated

Apr 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Dermatology

Education

Arizona College of Osteopathic Medicine Mid Western University, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.48 of 100Reported as group

Quality

82.26

Promoting interoperability

83

Improvement activities

40

Cost

76.85

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Center for Dermatology, PLLC

  dba Arizona Dermatology

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1194792416
  Medicare reassignment Care Compare group NPD
• Arizona Skin and Laser Therapy Institute, LTD

  • Dermatology Physician
  • Show Low, AZ
  • NPI 1740373257
  Medicare reassignment NPD
• Arizona Skin and Laser Therapy Institute, LTD

  • Dermatology Physician
  • Quartzsite, AZ
  • NPI 1427506203
  NPD
• Arizona Skin and Laser Therapy Institute, LTD

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1770519019
  NPD
• Arizona Skin and Laser Therapy Institute, LTD

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1659829109
  NPD (past)
• Center for Dermatology, PLLC

  • Medical Physician Assistant
  • Scottsdale, AZ
  • NPI 1174062673
  NPD (past)
• John a Shaw MD PC

  • Radiation Oncology Physician
  • Phoenix, AZ
  • NPI 1679632459
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1295927788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 W NORTHERN AVE STE D300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215099",
            "telephone_number": "602-277-1449",
            "fax_number": "602-277-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 W NORTHERN AVE STE D300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215099",
            "telephone_number": "602-277-1449",
            "fax_number": "602-277-9984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4835 E Cactus Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852544195",
            "country_code": "US",
            "telephone_number": "602-996-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBNER",
        "first_name": "JOHN",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "4767",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "4767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fidelis Osondu Ebereonwu
• Renee S Eberhardt, LMT
• Marian C Eberly, RN, LCSW
• Lance Eberson, MD
• Jennifer Ebner, D.D.S.
• Ekaette Effiong Ebong, PHARM.D.
• Ebony House Inc
• Ebony House Inc
• Ebony House Inc
• Ebony House Inc

• MOHS-Micrographic Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• MOHS-Micrographic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.

Verify at the official NPI Registry.