MEDICARE: TRACEY JOHN P.A.-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	6316	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780043174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACEY JOHN P.A.-C

Provider Business Mailing Address
First Line	:	44572 W. BOWLIN ROAD
Second Line	:
City	:	MARICOPA
State	:	AZ
Zip	:	85138-8922
Country	:	US
Telephone Number	:	480-216-9417
Fax Number	:

Provider Business Practice Location Address
First Line	:	44572 W. BOWLIN ROAD
Second Line	:
City	:	MARICOPA
State	:	AZ
Zip	:	85138-8922
Country	:	US
Telephone Number	:	480-216-9417
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2016
Last Update Date	:	07/21/2022

Similar Medicare Providers

1457203937 — AMANDAROSE MARY COTA
Practice Location Address:

21495 N RUMMLER LN
MARICOPA, AZ
85138-2859

Practice Phone: 520-990-2664
Practice Fax:

1235089905 — MACIAS & SONS TRUCKING COMPANY LLC
Practice Location Address:

42488 W VENTURE RD
MARICOPA, AZ
85138-2207

Practice Phone: 757-240-7848
Practice Fax:

1184013310 — MARICOPA UNIFIED SCHOOL DISTRICT
Practice Location Address:

44150 W MARICOPA CASA GRANDE HWY
MARICOPA, AZ
85138-5900

Practice Phone: 520-568-5100
Practice Fax: 520-568-5110

1194688135 — SUCCESSFUL LIVINGS LLC.
Practice Location Address:

43646 W YUCCA LN
MARICOPA, AZ
85138-2011

Practice Phone: 520-483-4219
Practice Fax:

1558365957 — DR. JAMES MICHAEL UNDERWOOD D.O.
Practice Location Address:

44572 W BOWLIN RD
MARICOPA, AZ
85138

Practice Phone: 520-568-2316
Practice Fax: 520-568-2316

1851392302 — HIRAM A. RIVERA PADILLA MD
Practice Location Address:

17900 N PORTER RD
MARICOPA, AZ
85138-4228

Practice Phone: 520-233-2500
Practice Fax: 520-233-2574

Directions to “ TRACEY JOHN P.A.-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.