Amy Elizabeth Miceli, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4964 Issued in AZ

Practice address

2030 W Whispering Wind Dr
Phoenix, AZ 85085-2853

Phone

(623) 869-9080

Fax

(623) 869-9090

NPI assigned

Aug 31, 2011

Last updated

Nov 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Pediatric Group Specialists, LTD.

  dba Pediatrix

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1639164833
  NPD (past)
• Sunny Internal Medicine and Pediatrics, PLLC

  • Internal Medicine Physician
  • Avondale, AZ
  • NPI 1376723916
  NPD (past)

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1073894374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 E MICHIGAN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321586",
            "telephone_number": "602-618-1177",
            "fax_number": "623-869-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 W WHISPERING WIND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852853",
            "telephone_number": "623-869-9080",
            "fax_number": "623-869-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICELI",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison Miao, M.D.
• Cynthia Louise Miaso, P.T.
• Alexander Micael, PHARM.D. RPH
• Dean J Micalizio, D.C.
• Camilla Ann Mican, MD
• Micgra Psych
• Michael B. Lebowitz DDS PC
• Michael D Dersam MD PC
• Michael G. Nadauld, DMD PLLC (Dental 32)
• Michael J Brennan MD PC

• Medical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.