Healthcare Provider Details

I. General information

NPI: 1669420428
Provider Name (Legal Business Name): JOHN H YORK D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 N 91ST ST STE A115
SCOTTSDALE AZ
85258-5036
US

IV. Provider business mailing address

8776 E SHEA BLVD # 106-1113
SCOTTSDALE AZ
85260-6629
US

V. Phone/Fax

Practice location:
  • Phone: 602-609-8459
  • Fax: 855-566-5675
Mailing address:
  • Phone: 480-282-2728
  • Fax: 855-566-5675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number010137
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: