Dr. John R. Markham PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4498 Issued in AZ

Legal business name

DR. JOHN R. MARKHAM PC

Doing business as

Prescott Vision & Eye Surgery Center

Practice address

25 W Yavapai St
Wickenburg, AZ 85390-3280

Phone

(928) 684-2880

Fax

(928) 684-3209

NPI assigned

Apr 3, 2009

Last updated

Apr 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Greg Davis

Title

Administrator

Phone

(928) 778-3950

Specialties & licenses 1

Addresses

Other identifiers 10

Other names 1

• Prescott Vision & Eye Surgery Center Doing business as

Tax ID family

John R Markham PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• John R Markham PC

  dba Prescott Vision and Eye Surgery Center

  • Ophthalmology Physician
  • Prescott Valley, AZ
  • NPI 1932540119
  NPD tax ID
• John R. Markham PC

  dba Prescott Vision & Eye Surgery Center

  • Eyewear Supplier
  • Chino Valley, AZ
  • NPI 1104090737
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John R Markham, O D

  • Optometrist
  • Prescott, AZ
  • NPI 1225094550
  NPD (past)
• Scott Patrick Markham, D.O.

  • Ophthalmology Physician
  • Prescott, AZ
  • NPI 1972688836
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1659513760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011108",
            "telephone_number": "928-778-3950",
            "fax_number": "928-778-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W YAVAPAI ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853903280",
            "telephone_number": "928-684-2880",
            "fax_number": "928-684-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN R. MARKHAM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-778-3950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "4498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE",
            "identifier": "033176-001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3421045",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAN-AMN",
            "identifier": "572818",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "866291-9714",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Z6546",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTH CARE",
            "identifier": "NNP12599",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190721",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "190721",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7742967",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUBMITTER ID",
            "identifier": "AZ01170",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Vision & Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Wickenburg, AZ
• Providers in Wickenburg, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.