Active NPI
John J Hembry, DO
- Family Medicine Physician
- Queen Creek, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 009044
- Practice address
- 21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709 - Phone
- (480) 512-3700
- NPI assigned
- Jan 3, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 009044 | AZ | Primary |
Addresses
Primary practice location
21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709
Mailing address
21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709
Phone (480) 512-3700
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508844309 | Medicaid | IA | |
| 5296061 | Medicaid | IA | |
| 6296061 | Medicaid | IA | |
| P00345237 | Other | IA | RR MEDICARE |
| 7296061 | Medicaid | IA | |
| 4296061 | Medicaid | IA | |
| P00266823 | Other | IA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 Middle Creek Rd
Suite 270
Sevierville, TN 37862-3052
Phone (865) 365-3074
2531 Willow Point Way
Suite 105
Knoxville, TN 37931-3162
Phone (865) 694-9349
5779 Creekwood Park Blvd
Suite 110
Lenoir City, TN 37772-1203
Phone (865) 635-2810
Hospital & facility affiliations
- University Health System, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health System, Inc | Family Medicine | Current | Accepting new patients |
| University Health System Inc | Current | Accepting new patients | |
| Uhs Primary Care LLC | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| Ut Urgent Care Centers LLC | Family Medicine | Current | Accepting new patients |
| Uhs Primary Care LLC | Family Medicine | Current | Accepting new patients |
| Uhs Primary Care LLC | Current | Accepting new patients | |
| Uhs Primary Care LLC | Family Medicine | Past | Accepting new patients |
Locations
2531 Willow Point Way
Ste 105
Knoxville, TN 37931
Phone (865) 694-9349
2519 Willow Point Way
Knoxville, TN 37931
Phone (865) 694-9349
5779 Creekwood Park Blvd
Ste 220
Lenoir City, TN 37772
Phone (865) 988-6330
1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Lenoir City, TN
- NPI 1770381196
-
- Family Medicine Physician
- Seymour, TN
- NPI 1801391453
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1144028416
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1265328025
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1235182197
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1528865656
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1508844309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21772 S ELLSWORTH LOOP RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851427709",
"telephone_number": "480-512-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21772 S ELLSWORTH LOOP RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851427709",
"telephone_number": "480-512-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMBRY",
"first_name": "JOHN",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "009044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508844309",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5296061",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6296061",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00345237",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7296061",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4296061",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00266823",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.