Active NPI
John P Passamani MD PA
- Anesthesiology Physician
- Prescott, AZ
National Provider Identifier
1982791125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- JOHN P PASSAMANI MD PA
- Practice address
- 815 Ainsworth Dr
Prescott, AZ 86301-1631 - Phone
- (480) 985-1093
- NPI assigned
- Oct 9, 2006
- Last updated
- Oct 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John P Passamani, MD
- Title
- President/Owner
- Phone
- (480) 985-1093
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
815 Ainsworth Dr
Prescott, AZ 86301-1631
Mailing address
PO Box 20490
Mesa, AZ 85277-0490
Phone (480) 985-1093
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0335470 | Other | AZ | BCBS |
| 224345 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Prescott, AZ
- NPI 1316052772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191974400000",
"number": "1982791125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20490",
"city": "MESA",
"state": "AZ",
"postal_code": "852770490",
"telephone_number": "480-985-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 AINSWORTH DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011631",
"telephone_number": "480-985-1093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN P PASSAMANI MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2007-10-10",
"status": "A",
"authorized_official_last_name": "PASSAMANI",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "480-985-1093",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0335470",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "224345",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
- Jacqueline Jendrisak
- Roger Cain Jenkins Jr., MD
- Karen E Jensen, LCSW, CCM
- Richard C. Jirsa, DDS
- John F Mackenzie DO PC
- John R Markham PC (Prescott Vision and Eye Surgery Center)
- John R. Markham PC (Prescott Vision & Eye Surgery Center)
- Christopher Aaron Johns, M.D.
- Brent E Johnson, M.D.
- Charles H Johnson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.