Stacie Gooch Michaelis, D.O.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

7640 Issued in AZ

Practice address

9787 N 91St St Ste 101
Scottsdale, AZ 85258-5088

Phone

(480) 563-6400

Fax

(480) 563-8009

NPI assigned

Jun 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stacie Leigh Gooch Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Anesthesia SolutionsGroup PAC ID 9234357906, 210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Greater Anesthesia Solutions

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1124430244
  Medicare reassignment Care Compare group NPD
• Arizona Pain Specialists, PLLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1700030939

  Pain Medicine

  Medicare reassignment NPD
• Arizona Pain Specialists, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Denver, CO
  • NPI 1245682970
  NPD

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

• Banner Boswell Medical Center

  • General Acute Care Hospital
  • Sun City, AZ
  • NPI 1952560914
  Care Compare affiliation

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1194987545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6408",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852616408",
            "telephone_number": "480-563-6400",
            "fax_number": "480-563-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9787 N 91ST ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585088",
            "telephone_number": "480-563-6400",
            "fax_number": "480-563-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELIS",
        "first_name": "STACIE",
        "middle_name": "GOOCH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "7640",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A12270",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "GOOCH",
            "middle_name": "LEIGH",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael S. Barnes DDS, LTD
• Michael S. Cavender, D.D.S.
• Michael S. Cavender, DDS, PSC, Inc
• Michael William Perry MD PC
• Michael Y. Suleiman, MD, PC
• Jason D Michaels, M.D.
• Michele a. Coffman OD PA
• Tanya Michelle, LAC RN HTP CST M.OM.
• Jessica Cotter Michie, APRN
• Michigan Urgent Care Provider Network, LLC

• Pain Medicine (Anesthesiology) Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.