Individual provider Active NPI

John J Hembry, DO

  • Family Medicine Physician
  • Queen Creek, AZ
National Provider Identifier
1508844309
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
009044 Issued in AZ
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

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1508844309MedicaidIA
5296061MedicaidIA
6296061MedicaidIA
P00345237OtherIARR MEDICARE
7296061MedicaidIA
4296061MedicaidIA
P00266823OtherIARR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018000673 TN Practitioner - Family Practice 8527972793 Reassigns benefits to 3 organizations

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
Ut Urgent Care Centers, LLCGroup PAC ID 5597015065, 24 clinicians
Uhs Primary Care LLCGroup PAC ID 1153849856, 92 clinicians

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 Hospital, Knoxville, TN, CCN 440015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
University Health System Inc CurrentSince Aug 1, 2024 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 CurrentSince Oct 15, 2024 Accepting new patients
Uhs Primary Care LLC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Uhs Primary Care LLC CurrentSince Jul 1, 2025 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.