Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan L Dameworth, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194102772

Dr. Jonathan L Dameworth, MD is a Colorectal Surgery (Proctology) in Phoenix, Arizona. Graduated from Creighton University School of Medicine in 2015, 11 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Trained at
Creighton University School of Medicine
Licensed in
AZ
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 W Thomas Rd Ste 400
Phoenix, AZ 85013-4238
Phone: (602) 406-3874
Fax: (602) 406-2335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 625 N 6th St, Phoenix, AZ 85004-2155 — (602) 406-8222
  • 10214 N Tatum Blvd Ste A600, Phoenix, AZ 85028-4247 — (602) 406-1530

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 64001 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194102772
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 2, 2015
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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