Individual provider Active NPI

Michael Anthony Albertson, PA-C

  • Physician Assistant
  • Glendale, AZ
National Provider Identifier
1477059012
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7037 Issued in AZ
Practice address
8608 N 59TH Ave
Glendale, AZ 85302-5404
Phone
(623) 979-2565
Fax
(623) 979-2463
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7037 AZ Primary

Addresses

Primary practice location

8608 N 59TH Ave
Glendale, AZ 85302-5404

Mailing address

8608 N 59TH Ave
Glendale, AZ 85302-5404
Phone (623) 979-2565

Other names 1

  • Tony Albertson Other name

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
I20180503002645 AZ Practitioner - Physician Assistant 6709140478 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7037AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Envy, LLC CurrentSince May 1, 2024 Accepting new patients

Locations

14044 W Camelback Rd
Ste 226
Litchfield Pk, AZ 85340
Phone (623) 233-1050

Interoperability endpoints

  • Direct secure messaging: michael.albertson.1@15843.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1477059012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8608 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025404",
            "telephone_number": "623-979-2565",
            "fax_number": "623-979-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8608 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025404",
            "telephone_number": "623-979-2565",
            "fax_number": "623-979-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTSON",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "ALBERTSON",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.