Active NPI
Michael Covert McQueen, M.D.
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1225010093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19723
- Practice address
- 7720 N 16TH St #425
Desert Neonatology Associates
Phoenix, AZ 85020-4492 - Phone
- (602) 476-8962
- Fax
- (623) 643-9236
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19723 | AZ | Primary |
Addresses
Primary practice location
7720 N 16TH St #425
Desert Neonatology Associates
Phoenix, AZ 85020-4492
Mailing address
7720 N 16TH St #425
Desert Neonatology Associates
Phoenix, AZ 85020-4492
Phone (602) 476-8962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015281 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Neonatology Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841695269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1225010093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7720 N 16TH ST #425",
"address_2": "DESERT NEONATOLOGY ASSOCIATES",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204492",
"telephone_number": "602-476-8962",
"fax_number": "623-643-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7720 N 16TH ST #425",
"address_2": "DESERT NEONATOLOGY ASSOCIATES",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204492",
"telephone_number": "602-476-8962",
"fax_number": "623-643-9236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUEEN",
"first_name": "MICHAEL",
"middle_name": "COVERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "19723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015281",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.