Cecil Frances Michael Jr., MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10472 Issued in AZ

Practice address

5940 W Union Hills Dr
Suite D-100
Glendale, AZ 85308-1308

Phone

(602) 978-2500

Fax

(602) 938-2198

NPI assigned

Jan 30, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cactus Childrens Clinic PC

  • Pediatrics Physician
  • Glendale, AZ
  • NPI 1891850145
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1194861427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 W UNION HILLS DR",
            "address_2": "SUITE D-100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081308",
            "telephone_number": "602-978-2500",
            "fax_number": "602-938-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 W UNION HILLS DR",
            "address_2": "SUITE D-100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081308",
            "telephone_number": "602-978-2500",
            "fax_number": "602-938-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "CECIL",
        "middle_name": "FRANCES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "10472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215120001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Forbes Warden PHD PLLC
• Michael James Gengle DDS LLC
• Michael L Berger OD PC
• Michael L Kravetz, MD, PLC
• Michael L. Sweeney,MSW,P.C.
• Rebecca Jeannine Michael, FNP-C
• Glenn Micheels, D.C.
• Stephanie Larsen Mickelsen, LCSW
• Lexi Lynn Mickey, AGDNP-C
• Christopher Justin Micu

• Pediatrics Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.