Michael Jude Labarbera, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

53742 Issued in AZ

Practice address

6116 E Arbor Ave Ste 102
Mesa, AZ 85206

Phone

(480) 676-4543

Fax

(480) 757-6665

NPI assigned

Jul 15, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 22, 2021 through Dec 22, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sonoran Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Phoenix, AZ
  • NPI 1841851995
  Authorized official Same address or phone
• HGD, Inc

  • Dermatology Physician
  • Mountain BRK, AL
  • NPI 1902439417
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1053541839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8776 E SHEA BLVD # 106-361",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606629",
            "telephone_number": "480-676-4543",
            "fax_number": "480-757-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 E ARBOR AVE STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-676-4543",
            "fax_number": "480-757-6665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 S Val Vista Drive",
            "address_2": "Building 4 Suite 117",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "85295",
            "country_code": "US",
            "telephone_number": "480-786-8876",
            "fax_number": "833-235-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18325 N Allied Way Ste 120",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850543107",
            "country_code": "US",
            "telephone_number": "480-676-4543",
            "fax_number": "480-757-6665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABARBERA",
        "first_name": "MICHAEL",
        "middle_name": "JUDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "53742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ann La Rosa, APRN
• La Sante Homes LLC
• Jacquelyn La, RN
• Lab Express Inc
• Diana Rose Labani
• Christopher J Labban, D.O.
• Karelle Labrador, APRN FNP-C
• Robert Dale Labrum, M.A., N.C.C., L.P.C
• Joshua N Lacanlale, P.T.
• Shauna Louise Lacanlale, OTR/L

• Plastic Surgery Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.