Individual provider Active NPI

Clayton Bates

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1376945071
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5891 Issued in AZ
Practice address
2940 E Banner Gateway Dr Ste 200
Gilbert, AZ 85234-2171
Phone
(480) 964-2908
NPI assigned
Sep 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5891 AZ
Physician Assistant 363A00000X 5891 AZ Primary

Addresses

Primary practice location

2940 E Banner Gateway Dr Ste 200
Gilbert, AZ 85234-2171

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 772-3800

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
I20141113000779 AZ Practitioner - Physician Assistant 9133341837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Specialists of North America PLLCGroup PAC ID 7719014505, 310 clinicians

Practice addresses (Care Compare)

2940 E Banner Gateway Dr
Gilbert, AZ 85234-2168

5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115

Hospital & facility affiliations

  • Arizona Spine and Joint Hospital Hospital, Mesa, AZ, CCN 030107
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5891AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Osna PLLC CurrentSince Oct 1, 2014 Accepting new patients
Arizona Spine and Joint Hospital LLC Current Accepting new patients
District Medical Group, Inc Past Accepting new patients
Orthopedic Specialists of North America, PLLC Past Accepting new patients

Locations

1760 E Pecos Rd
Ste 207
Gilbert, AZ 85295
Phone (480) 813-0944

Interoperability endpoints

  • Direct secure messaging: claytonbates@asjh.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1376945071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-772-3800",
            "fax_number": "602-772-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 E BANNER GATEWAY DR STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342171",
            "telephone_number": "480-964-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "CLAYTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-24",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "5891",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.