Individual provider Active NPI

Jon Schwartz, MD

  • Family Medicine Physician
  • Kingman, AZ
National Provider Identifier
1720008972
Registry record updated Jan 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28211 Issued in AZ
Practice address
3931 Stockton Hill Rd
Suite C
Kingman, AZ 86409-3001
Phone
(928) 681-6100
Fax
(928) 681-6103
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28211 AZ Primary

Addresses

Primary practice location

3931 Stockton Hill Rd
Suite C
Kingman, AZ 86409-3001

Mailing address

3931 Stockton Hill Rd
Suite C
Kingman, AZ 86409-3001
Phone (928) 681-6100

Other identifiers 1

IdentifierTypeStateIssuer
525404MedicaidAZ

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 Medicine

State licenses

LicenseStateTypeSpecialty
28211AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pawnee Municipal Hospital Authority Past Accepting new patients
Jon C Schwartz MD PC Family Medicine PastSince Jan 19, 2005 Accepting new patients

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262476800000",
    "number": "1720008972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 STOCKTON HILL RD",
            "address_2": "SUITE C",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093001",
            "telephone_number": "928-681-6100",
            "fax_number": "928-681-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 STOCKTON HILL RD",
            "address_2": "SUITE C",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093001",
            "telephone_number": "928-681-6100",
            "fax_number": "928-681-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "28211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "525404",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2010; 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.