Individual provider Active NPI

John Charles Rimer, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1508884594
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2524 Issued in AZ
Practice address
9250 N 3Rd St Ste 3025
Phoenix, AZ 85020-2428
Phone
(602) 944-4628
Fax
(602) 944-2805
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2524 AZ Primary

Addresses

Primary practice location

9250 N 3Rd St Ste 3025
Phoenix, AZ 85020-2428

Mailing address

1202 E Nicolet Ave
Phoenix, AZ 85020-5119
Phone (602) 679-3902

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531000156 AZ Practitioner - Physician Assistant 7416999586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10460 N 92ND St
Suite 101
Scottsdale, AZ 85258-4547
Phone (480) 278-8300

14155 N 83Rd Ave
Suite 127
Peoria, AZ 85381-5652
Phone (623) 773-2873

9250 N 3Rd St
Suite 3025
Phoenix, AZ 85020-2428
Phone (602) 944-4628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2524AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Jan 1, 2018 Accepting new patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Jan 1, 2018 Accepting new patients
Center for Physical Medicine & Rehabilitation P C Past Accepting new patients
Arizona Center for Hematology and Oncology PLC Past Accepting new patients
Med 97 LLC Past Accepting new patients

Locations

14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873

1331 N 7th St
Ste 290
Phoenix, AZ 85006
Phone (602) 230-6744

9250 N 3rd St
Ste 3025
Phoenix, AZ 85020
Phone (602) 678-5001

3201 W Peoria Ave
Ste C600
Phoenix, AZ 85029
Phone (602) 230-6744

50 E Dunlap Ave
Ste 105
Phoenix, AZ 85020
Phone (602) 944-4626

9250 N 3rd St
Ste 3017
Phoenix, AZ 85020
Phone (602) 230-6744

10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1508884594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E NICOLET AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205119",
            "telephone_number": "602-679-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST STE 3025",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202428",
            "telephone_number": "602-944-4628",
            "fax_number": "602-944-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIMER",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.