Individual provider Active NPI

Michael Chad White, P.A.

  • Surgical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1376520205
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2171 Issued in AZ
Practice address
1635 E Myrtle Ave
Ste 400
Phoenix, AZ 85020-5514
Phone
(602) 944-2900
Fax
(602) 944-0064
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2171 AZ Primary

Addresses

Primary practice location

1635 E Myrtle Ave
Ste 400
Phoenix, AZ 85020-5514

Mailing address

1635 E Myrtle Ave
Ste 400
Phoenix, AZ 85020-5514
Phone (602) 944-2900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address m.white.p1@direct.sciatica.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524001046 AZ Practitioner - Physician Assistant 9830180173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan S Hott MD PLCGroup PAC ID 0244233542, 28 clinicians

Practice addresses (Care Compare)

3487 S Mercy Rd
Gilbert, AZ 85297-0432
Phone (602) 840-0681

3700 N 24TH St
Suite 210
Phoenix, AZ 85016-6536
Phone (602) 840-0681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2171AZMDSurgical Physician Assistant

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1376520205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 E MYRTLE AVE",
            "address_2": "STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205514",
            "telephone_number": "602-944-2900",
            "fax_number": "602-944-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 E MYRTLE AVE",
            "address_2": "STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205514",
            "telephone_number": "602-944-2900",
            "fax_number": "602-944-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MICHAEL",
        "middle_name": "CHAD",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m.white.p1@direct.sciatica.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1635 E MYRTLE AVE",
            "address_2": "STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850205514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.