Individual provider Active NPI

John Henry Stock, MD

  • Pediatric Cardiology Physician
  • Tempe, AZ
National Provider Identifier
1366467094
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
25426 Issued in AZ
Practice address
7505 S McClintock Dr
Suite 103
Tempe, AZ 85283-5042
Phone
(480) 755-1000
Fax
(480) 755-0011
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 25426 AZ Primary

Addresses

Primary practice location

7505 S McClintock Dr
Suite 103
Tempe, AZ 85283-5042

Mailing address

2222 S Dobson Rd
Suite 305
Mesa, AZ 85202-6481
Phone (480) 306-8151

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
I20050209000458 AZ Practitioner - Cardiovascular Disease (Cardiology) 4284685058 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children'S Medical Group CurrentSince Sep 9, 2024 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Sep 9, 2024 Accepting new patients
Phoenix Children'S Hospital Pediatrics Current Accepting new patients
Pediatric Cardiac Care of Arizona CurrentSince Aug 11, 2015 Accepting new patients
District Medical Group, Inc Pediatrics Past Accepting new patients

Locations

1551 E Tangerine Rd
Ste 141
Oro Valley, AZ 85755
Phone (520) 320-7999

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

1920 E Cambridge Ave
Ste 301
Phoenix, AZ 85006
Phone (602) 253-6000

2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016

726 Gail Gardner Way
Ste A
Prescott, AZ 86305
Phone (928) 443-9580

7505 S McClintock Dr
Ste 103
Tempe, AZ 85283
Phone (480) 755-1000

Organizations & group practices 5

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1366467094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S DOBSON RD",
            "address_2": "SUITE 305",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026481",
            "telephone_number": "480-306-8151",
            "fax_number": "480-404-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 S MCCLINTOCK DR",
            "address_2": "SUITE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835042",
            "telephone_number": "480-755-1000",
            "fax_number": "480-755-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "25426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.