Individual provider Active NPI

Amon Thomas Ferry, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Scottsdale, AZ
National Provider Identifier
1669639613
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
42706 Issued in AZ
Practice address
8630 E Via de Ventura Ste 201
Scottsdale, AZ 85258
Phone
(480) 558-3744
Fax
(480) 558-3801
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 125047485 IL
Orthopaedic Surgery Physician 207X00000X 42706 AZ
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 42706 AZ Primary

Addresses

Primary practice location

8630 E Via de Ventura Ste 201
Scottsdale, AZ 85258

Mailing address

8630 E Via de Ventura Ste 201
Scottsdale, AZ 85258-3358
Phone (480) 558-3744

Other practice location 1

9250 N 3rd St
Suite 2030
Phoenix, AZ 85020-2437
Phone (623) 882-1292

Other practice location 2

8630 E Via De Ventura Ste 201
Scottsdale, AZ 85258
Phone (480) 558-3744

Other identifiers 2

IdentifierTypeStateIssuer
86-0783428OtherAZTAX-ID
526545MedicaidAZ

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
I20100830001043 AZ Practitioner - Orthopedic Surgery 5395899389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rush Medical College of Rush University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

1840 S Stapley Dr
Suite 137
Mesa, AZ 85204-6683
Phone (480) 558-3744

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (602) 274-6506

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)17
Upper limb (arm) arthroscopy (minimally invasive joint repair)140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125047485ILMDOrthopaedic Surgery Physician
42706AZMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Jun 27, 2019 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jun 27, 2019 Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine Past Accepting new patients
Orthopedic Specialists of North America, PLLC Orthopaedic Surgery Past Accepting new patients

Locations

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

1840 S Stapley Dr
Ste 137
Mesa, AZ 85204
Phone (602) 952-0002

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

8630 E Via de Ventura
Ste 201
Scottsdale, AZ 85258
Phone (214) 556-3227

Interoperability endpoints

  • Direct secure messaging: amon.ferry.1@600.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1669639613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 E VIA DE VENTURA STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583358",
            "telephone_number": "480-558-3744",
            "fax_number": "480-558-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 E VIA DE VENTURA STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-558-3744",
            "fax_number": "480-558-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9250 N 3rd St",
            "address_2": "Suite 2030",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850202437",
            "country_code": "US",
            "telephone_number": "623-882-1292",
            "fax_number": "623-882-8184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8630 E Via De Ventura Ste 201",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "85258",
            "country_code": "US",
            "telephone_number": "480-558-3744",
            "fax_number": "480-558-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRY",
        "first_name": "AMON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125047485",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "42706",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "42706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX-ID",
            "identifier": "86-0783428",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526545",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.