Michael Mitchell Courtney, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13701 Issued in CA

Practice address

374 W Olive Ave Ste a
Merced, CA 95348-3137

Phone

(209) 384-5766

Fax

(209) 383-4230

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.courtney.1@3012.direct.athenahealth.com

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.

• Merced Faculty Associates Medical Group Incorporated

  • Family Medicine Physician
  • Merced, CA
  • NPI 1285623256
  Medicare reassignment
• Merced Faculty Associates Medical Group Incorporated

  • Family Medicine Physician
  • Atwater, CA
  • NPI 1215189477
  NPD
• Merced Faculty Associates Medical Group Incorporated

  • Family Medicine Physician
  • Livingston, CA
  • NPI 1841603107
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1396898029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-384-5766",
            "fax_number": "209-383-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 W OLIVE AVE STE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483137",
            "telephone_number": "209-384-5766",
            "fax_number": "209-383-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "MICHAEL",
        "middle_name": "MITCHELL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Merced
• County of Merced
• County of Merced
• County of Merced
• County of Merced
• Twylla Rene Cox-Sugimoto, MD
• Anna Mauria Cozzi, LMFT
• Dimikka Craig
• Melanie Lynn Craig
• Angela Christine Crain

• Physician Assistant in Merced, CA
• Providers in Merced, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.

Verify at the official NPI Registry.