Individual provider Active NPI

John Steven Charochak, D.O

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1679557334
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
2333 Issued in AZ
Practice address
3033 W Bell Rd
Phoenix, AZ 85053-3000
Phone
(602) 375-3333
Fax
(602) 375-0475
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 2333 AZ Primary

Addresses

Primary practice location

3033 W Bell Rd
Phoenix, AZ 85053-3000

Mailing address

3033 W. Bell Rd Suite 101a
Phoenix, AZ 85053-3000
Phone (602) 375-3333

Other identifiers 1

IdentifierTypeStateIssuer
AZ0220300OtherAZBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679557334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W. BELL RD SUITE 101A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533000",
            "telephone_number": "602-375-3333",
            "fax_number": "602-375-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533000",
            "telephone_number": "602-375-3333",
            "fax_number": "602-375-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAROCHAK",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "AZ",
            "license": "2333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0220300",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.