Individual provider Active NPI

John Curley, DO

  • Pediatric Adolescent Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1508957101
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
4178 Issued in AZ
Practice address
4434 N 12TH St
Phoenix, AZ 85014-4507
Phone
(602) 242-5121
Fax
(602) 242-6945
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 4178 AZ Primary

Addresses

Primary practice location

4434 N 12TH St
Phoenix, AZ 85014-4507

Mailing address

6702 N 19TH Ave
Phoenix, AZ 85015-1101
Phone (602) 242-5121

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
I20090518000191 AZ Practitioner - Pediatric Medicine 0648358366 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Pediatrics LTD CurrentSince Apr 4, 2005 Accepting new patients
North Scottsdale Pediatric Associates Past Accepting new patients

Locations

4434 N 12th St
Phoenix, AZ 85014
Phone (602) 242-5121

6702 N 19th Ave
Phoenix, AZ 85015
Phone (602) 242-5121

4735 E Union Hills Dr
Phoenix, AZ 85050
Phone (602) 242-5121

Organizations & group practices 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1508957101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151101",
            "telephone_number": "602-242-5121",
            "fax_number": "602-242-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144507",
            "telephone_number": "602-242-5121",
            "fax_number": "602-242-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURLEY",
        "first_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AZ",
            "license": "4178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.