Michelle McArdle
Individual provider Active NPI Specialist · Phoenix, AZ
NPI 1235227232 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1235227232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 0249 (AZ)
- Practice address
- 15002 N 32ND St
Phoenix, AZ 85032-4441 - Phone
- (602) 867-5223
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0249 | AZ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradise Valley Unified School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0249 | AZ | Yes |
Addresses
Primary practice location
15002 N 32ND St
Phoenix, AZ 85032-4441
Mailing address
15002 N 32ND St
Phoenix, AZ 85032-4441
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 625569 | Medicaid | AZ |
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.