NPIMap

Individual provider Active NPI

John Eric Wanebo, M.D.

  • Neurological Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1588625313
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35308 Issued in AZ
Practice address
7242 E Osborn Rd Ste 420
Scottsdale, AZ 85251-6494
Phone
(480) 425-8004
Fax
(602) 294-8263
NPI assigned
Mar 31, 2006
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35308 AZ Primary

Addresses

Primary practice location

7242 E Osborn Rd Ste 420
Scottsdale, AZ 85251-6494

Mailing address

7242 E Osborn Rd Ste 420
Scottsdale, AZ 85251-6494
Phone (480) 425-8004

Other identifiers 1

IdentifierTypeStateIssuer
557150MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070509000273 AZ Practitioner - Neurosurgery 0941274831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Virginia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

7242 E Osborn Rd
Suite 420
Scottsdale, AZ 85251-6494
Phone (480) 425-8004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.75 of 100Reported as individual
Quality
66.2
Promoting interoperability
97
Improvement activities
40
Cost
75.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion153
Laminectomy or laminotomy (partial removal of spine bones)43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD Neurological Surgery CurrentSince Mar 17, 2009 Accepting new patients
Honorhealth Neurological Surgery CurrentSince Jan 1, 2016 Accepting new patients
Honorhealth CurrentSince Jan 1, 2016 Accepting new patients
Neurosurgical Associates, LTD Neurological Surgery CurrentSince Mar 17, 2009 Accepting new patients

Locations

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

2910 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 406-3008

7301 E 2nd St
Ste 106
Scottsdale, AZ 85251
Phone (480) 425-8004

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

7242 E Osborn Rd
Ste 420
Scottsdale, AZ 85251
Phone (480) 425-8004

Interoperability endpoints

  • Direct secure messaging: john.wanebo@764.direct.myezyaccess.com
  • Direct secure messaging: john.wanebo.1@31799.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1588625313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7242 E OSBORN RD STE 420",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516494",
            "telephone_number": "480-425-8004",
            "fax_number": "602-294-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7242 E OSBORN RD STE 420",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516494",
            "telephone_number": "480-425-8004",
            "fax_number": "602-294-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANEBO",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "35308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557150",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.