Active NPI
John-David Greayer Michels, PA-C
- Physician Assistant
- Gilbert, AZ
National Provider Identifier
1376695445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2415
- Practice address
- 81 W Guadalupe Rd
Ste 111
Gilbert, AZ 85233-3321 - Phone
- (480) 366-4490
- Fax
- (623) 748-5774
- NPI assigned
- Jan 17, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2415 | AZ | Primary |
Addresses
Primary practice location
81 W Guadalupe Rd
Ste 111
Gilbert, AZ 85233-3321
Mailing address
3457 E Amber LN
Gilbert, AZ 85296-1838
Phone (480) 945-6016
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Community Care | Current | Accepting new patients | |
| Chandler Regional Medical Center | Past | Accepting new patients | |
| Chandler Urgent Care LLC | Past | Accepting new patients | |
| Nextcare Arizona I JV LLC | Past | Accepting new patients |
Locations
20750 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (520) 233-2468
4545 E Chandler Blvd
Phoenix, AZ 85048
Phone (480) 728-4000
File 56224
Los Angeles, CA 90074
Organizations & group practices 5
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
- Chandler, AZ
- NPI 1700910189
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1043371826
-
- Emergency Care Clinic/Center
- Chandler, AZ
- NPI 1871910968
-
- Urgent Care Clinic/Center
- Chandler, AZ
- NPI 1881650471
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1376695445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3457 E AMBER LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961838",
"telephone_number": "480-945-6016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 W GUADALUPE RD",
"address_2": "STE 111",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852333321",
"telephone_number": "480-366-4490",
"fax_number": "623-748-5774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELS",
"first_name": "JOHN-DAVID",
"middle_name": "GREAYER",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.