Individual provider Active NPI

Joshua W Reedy, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1114911674
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3238 Issued in AZ
Practice address
3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536
Phone
(602) 840-0681
Fax
(602) 957-1570
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3238 AZ Primary

Addresses

Primary practice location

3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536

Mailing address

3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536
Phone (602) 840-0681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051025000316 AZ Practitioner - Physician Assistant 4587681044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jonathan S Hott MD PLCGroup PAC ID 0244233542, 28 clinicians

Practice addresses (Care Compare)

3700 N 24TH St
Suite 210
Phoenix, AZ 85016-6536
Phone (602) 840-0681

8670 E Shea Blvd
Suite 102
Scottsdale, AZ 85260-6656
Phone (602) 840-0681

Hospital & facility affiliations

  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Friendship Village of Tempe Nursing home, Tempe, AZ, CCN 035074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Spine and Sports Physicians PLLC CurrentSince Mar 20, 2018 Accepting new patients
Joshua William Reedy, PA-C, PLLC PastSince Oct 1, 2012 Accepting new patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients

Locations

6634 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (602) 840-0681

3700 N 24th St
Ste 210
Phoenix, AZ 85016
Phone (602) 840-0681

8670 E Shea Blvd
Ste 102
Scottsdale, AZ 85260
Phone (480) 585-5440

Organizations & group practices 4

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1114911674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166536",
            "telephone_number": "602-840-0681",
            "fax_number": "602-957-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166536",
            "telephone_number": "602-840-0681",
            "fax_number": "602-957-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "JOSHUA",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.