Active NPI
Rachael Marie Stillwagon, P.A.
- Allergy & Immunology Physician
- Scottsdale, AZ
National Provider Identifier
1437174208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 2626
- Practice address
- 10200 N 92ND St Ste 130
Scottsdale, AZ 85258-4535 - Phone
- (480) 614-8011
- Fax
- (480) 614-8014
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 2626 | AZ | Primary |
Addresses
Primary practice location
10200 N 92ND St Ste 130
Scottsdale, AZ 85258-4535
Mailing address
7514 E Monterey Way Ste 1
Scottsdale, AZ 85251-6900
Phone (804) 949-7377
Other practice location 1
7514 E Monterey Way Ste 1
Scottsdale, AZ 85251-6900
Phone (480) 949-7377
Other names 1
- Rachael Marie Carmichael
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10200 N 92ND St
Suite 130
Scottsdale, AZ 85258-4535
Phone (602) 949-7377
7514 E Monterey Way
Suite 1
Scottsdale, AZ 85251-6900
Phone (480) 949-7377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2626 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Center for Allergy and Chest Diseases | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Scottsdale, AZ
- NPI 1952468381
-
- Pulmonary Disease Physician
- Phoenix, AZ
- NPI 1003991753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1437174208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7514 E MONTEREY WAY STE 1",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516900",
"telephone_number": "804-949-7377",
"fax_number": "480-949-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 N 92ND ST STE 130",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584535",
"telephone_number": "480-614-8011",
"fax_number": "480-614-8014"
}
],
"practiceLocations": [
{
"address_1": "7514 E Monterey Way Ste 1",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852516900",
"country_code": "US",
"telephone_number": "480-949-7377",
"fax_number": "480-949-8339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STILLWAGON",
"first_name": "RACHAEL",
"middle_name": "MARIE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "AZ",
"license": "2626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHAEL",
"last_name": "CARMICHAEL",
"middle_name": "MARIE",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.