Michael Deeter, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3309 Issued in AZ

Practice address

7425 E Shea Blvd
Ste 108
Scottsdale, AZ 85260

Phone

(520) 290-0022

Fax

(520) 290-0044

NPI assigned

Jun 28, 2006

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

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona State Orthopaedics 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGEDBD/Endpoint/AGEDBD

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.

• Arizona State Orthopaedics

  • Orthopaedic Hand Surgery Physician
  • Chandler, AZ
  • NPI 1669745618

  AZ

  Medicare reassignment Care Compare group
• Apache Junction Urgent Care LLC

  • Urgent Care Clinic/Center
  • Apache Junction, AZ
  • NPI 1053375659
  NPD (past)
• Avondale Urgent Care LLC

  • Urgent Care Clinic/Center
  • Avondale, AZ
  • NPI 1134185671
  NPD (past)
• Casa Grande Urgent Care LLC

  • Urgent Care Clinic/Center
  • Casa Grande, AZ
  • NPI 1265496863
  NPD (past)
• Chandler Urgent Care LLC

  • Urgent Care Clinic/Center
  • Chandler, AZ
  • NPI 1881650471
  NPD (past)
• Dana Landing Urgent Care LLC

  • Urgent Care Clinic/Center
  • Mesa, AZ
  • NPI 1770549214
  NPD (past)
• Desert Ridge Urgent Care LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1861458309
  NPD (past)
• Glendale Urgent Care LLC

  • Urgent Care Clinic/Center
  • Glendale, AZ
  • NPI 1043276587
  NPD (past)
• Greenway Urgent Care LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1629034210
  NPD (past)
• Nextcare Arizona I JV LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1114798071
  NPD (past)
• Nextcare Arizona LLC

  • Urgent Care Clinic/Center
  • Chandler, AZ
  • NPI 1457670481
  NPD (past)
• Pinnacle Medicine Inc.

  • Urgent Care Clinic/Center
  • Mesa, AZ
  • NPI 1326000597
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497783716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 E PRINCESS DR",
            "address_2": "STE 2028",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-206-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 E SHEA BLVD",
            "address_2": "STE 108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "520-290-0022",
            "fax_number": "520-290-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEETER",
        "first_name": "MICHAEL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "985111",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kay Dedicatoria
• Erin Nicole Deeley
• Samier Deen, DO
• Nicholas Larry Deep, M.D.
• Divya Deepan, SLP
• Megan Anne Deffenbaugh, BCBA
• Susanna Janette Deffenbaugh, RBT
• Matthew Roland Degarlais, D.O.
• Megan Degrado, APN, FNP-BC
• Ashley Degrande, NP-C

• All providers in Scottsdale, AZ
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.