Active NPI
John Brock Amon, MD
- Obstetrics & Gynecology Physician
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 32952
- Practice address
- 2911 South 8TH Avenue
Yuma, AZ 85364-8000 - Phone
- (928) 783-3050
- Fax
- (928) 783-7783
- NPI assigned
- Jul 21, 2006
- Last updated
- Nov 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 32952 | AZ | Primary |
Addresses
Primary practice location
2911 South 8TH Avenue
Yuma, AZ 85364-8000
Mailing address
2400 S Avenue a
Yuma, AZ 85364-7127
Phone (928) 344-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 953994 | Medicaid | AZ | |
| ZWMBKJ | Other | MEDICARE GROUP # | |
| 0095399401 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32952 | AZ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Regional Medical Center | Current | Accepting new patients |
Locations
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
2911 S 8th Ave
Yuma, AZ 85364
Phone (928) 783-3050
Organizations & group practices 1
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.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1750302402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647127",
"telephone_number": "928-344-2000",
"fax_number": "928-783-7783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 SOUTH 8TH AVENUE",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648000",
"telephone_number": "928-783-3050",
"fax_number": "928-783-7783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMON",
"first_name": "JOHN",
"middle_name": "BROCK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "32952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "953994",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "ZWMBKJ",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0095399401",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.