Individual provider Active NPI

Jon V Barrett, DO

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1336253665
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4757 Issued in AZ
Practice address
1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4633
Phone
(602) 744-4760
Fax
(602) 744-4799
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4271 OK
Anesthesiology Physician 207L00000X 4757 AZ Primary
Emergency Medicine Physician 207P00000X 4271 OK

Addresses

Primary practice location

1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4633

Mailing address

1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4633
Phone (602) 744-4760

Other identifiers 2

IdentifierTypeStateIssuer
P00727945OtherMEDICARE RAILROAD
346679MedicaidAZ

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
I20080718000465 AZ Practitioner - Anesthesiology 6608896568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners of Arizona LLCGroup PAC ID 8628317179, 85 clinicians

Practice addresses (Care Compare)

4605 E Elwood St
Suite 500
Phoenix, AZ 85040-1978
Phone (602) 200-9021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4757AZMDClinical Psychologist
4271OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Anesthesiology Consultants of Arizona PLLC Anesthesiology CurrentSince Feb 15, 2018 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince May 1, 2021 Accepting new patients
Washita Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

501 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 440-4610

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

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

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

300 E Osborn Rd
Ste 102
Phoenix, AZ 85012
Phone (602) 234-8478

9849 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 583-2020

10541 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 748-7810

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1336253665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N CENTRAL AVE",
            "address_2": "SUITE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044633",
            "telephone_number": "602-744-4760",
            "fax_number": "602-744-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N CENTRAL AVE",
            "address_2": "SUITE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044633",
            "telephone_number": "602-744-4760",
            "fax_number": "602-744-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "JON",
        "middle_name": "V",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "4271",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "4757",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "4271",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00727945",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346679",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.