Active NPI
Michael J Styles, M.D.
- Anesthesiology Physician
- Tucson, AZ
National Provider Identifier
1306885090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 58240
- Practice address
- 1601 W Saint Marys Rd
Tucson, AZ 85745-2623 - Phone
- (480) 420-4027
- Fax
- (602) 535-0940
- NPI assigned
- Jun 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35058128S | OH | |
| Anesthesiology Physician | 207L00000X | 58240 | AZ | Primary |
Addresses
Primary practice location
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Mailing address
7301 N 16TH St Ste 102
Phoenix, AZ 85020-5266
Phone (480) 420-4027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0761484 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35058128S | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deperro Plastic Surgery, LLC | 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.
-
- Plastic Surgery Physician
- Columbus, OH
- NPI 1134573496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1306885090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 N 16TH ST STE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205266",
"telephone_number": "480-420-4027",
"fax_number": "602-535-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 W SAINT MARYS RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452623",
"telephone_number": "480-420-4027",
"fax_number": "602-535-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STYLES",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35058128S",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "58240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0761484",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.