Mark Wayne Wharton, RRT

Individual provider Active NPI Registered Respiratory Therapist · Prescott, AZ

NPI 1992674949 · NPPES record last updated Oct 30, 2025

Key facts

NPI
1992674949
Entity type
Individual (NPI type 1)
Primary specialty
Registered Respiratory Therapist 227900000X
License
2007030522 (MO)
Practice address
500 N State Route 89
Prescott, AZ 86313-5001
Phone
(928) 445-4860
NPI assigned
Oct 30, 2025
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2007030522MOMDRegistered Respiratory Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 2007030522 MO Yes

Addresses

Primary practice location

500 N State Route 89
Prescott, AZ 86313-5001

Mailing address

500 N State Route 89
Prescott, AZ 86313-5001
Phone (928) 445-4860

Other providers in Prescott, AZ

All providers in Prescott, AZ · Registered Respiratory Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.