Active NPI
David O Netz, PA-C
- Medical Physician Assistant
- Show Low, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3013
- Practice address
- 4731 S White Mountian Rd
Show Low, AZ 85901 - Phone
- (928) 537-8777
- Fax
- (928) 537-1914
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3013 | AZ | Primary |
Addresses
Primary practice location
4731 S White Mountian Rd
Show Low, AZ 85901
Mailing address
4830 Highway 260 Ste 103
Lakeside, AZ 85929-5851
Phone (928) 537-8777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375
4830 Hwy 260
Suite 103
Lakeside, AZ 85929-5851
Phone (928) 537-8777
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Healthcare Medical Associates | Physician Assistant | Current | Accepting new patients |
| Summit Healthcare Medical Associates | Current | Accepting new patients | |
| Summit Healthcare Medical Associates | Current | Accepting new patients |
Locations
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
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.
-
- Orthopaedic Surgery Physician
- Lakeside, AZ
- NPI 1760644462
-
- Family Medicine Physician
- Show Low, AZ
- NPI 1467878108
Physician Assistant
-
- Emergency Medicine Physician
- Waukesha, WI
- NPI 1861483190
-
- Rural Health Clinic/Center
- Eagar, AZ
- NPI 1063166999
-
dba Family Medicine at Bison Ranch
- Rural Health Clinic/Center
- Overgaard, AZ
- NPI 1770700767
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Summit Healthcare Oncology Center
- Oncology Clinic/Center
- Show Low, AZ
- NPI 1083736128
Hospital
-
dba Summit Healthcare Regional Medical Center
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
-
dba Family Medicine at Bison Ranch
- Rural Health Clinic/Center
- Overgaard, AZ
- NPI 1770700767
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1407828528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4830 HIGHWAY 260 STE 103",
"city": "LAKESIDE",
"state": "AZ",
"postal_code": "859295851",
"telephone_number": "928-537-8777",
"fax_number": "928-537-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4731 S WHITE MOUNTIAN RD",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "85901",
"telephone_number": "928-537-8777",
"fax_number": "928-537-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETZ",
"first_name": "DAVID",
"middle_name": "O",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "3013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.