Active NPI
Reese Daylen Jones, PA-C
- Physician Assistant
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4493
- Practice address
- 1355 S Higley Rd Ste 104
Urgent Care Extra
Gilbert, AZ 85296-4799 - Phone
- (480) 840-6600
- Fax
- (480) 840-6699
- NPI assigned
- Oct 8, 2009
- 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 | 4493 | AZ | Primary |
Addresses
Primary practice location
1355 S Higley Rd Ste 104
Urgent Care Extra
Gilbert, AZ 85296-4799
Mailing address
1250 S Clearview Ave Ste 100
Urgent Care Extra
Mesa, AZ 85209-3378
Phone (480) 988-9108
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468565 | Medicaid | AZ | |
| 651170616 | Other | AZ | TAX ID |
| Z133622 | Other | AZ | MEDICARE PTAN |
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 |
|---|---|---|---|
| Emergency Professional Services PC | Physician Assistant | Current | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
1300 N 12th St
Ste 301
Phoenix, AZ 85006
Phone (602) 239-6968
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1518984210
-
- Emergency Care Clinic/Center
- Gilbert, AZ
- NPI 1245772870
-
- Emergency Medicine Physician
- Apache Junction, AZ
- NPI 1205273406
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1427383447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 S CLEARVIEW AVE STE 100",
"address_2": "URGENT CARE EXTRA",
"city": "MESA",
"state": "AZ",
"postal_code": "852093378",
"telephone_number": "480-988-9108",
"fax_number": "480-813-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 S HIGLEY RD STE 104",
"address_2": "URGENT CARE EXTRA",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964799",
"telephone_number": "480-840-6600",
"fax_number": "480-840-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "REESE",
"middle_name": "DAYLEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-08",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "4493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "468565",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "651170616",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z133622",
"state": "AZ"
}
],
"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 Aug 24, 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.