Michael Owen McBride, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

010270 Issued in AZ

Practice address

4425 E Agave Rd Ste 148
Phoenix, AZ 85044-0623

Phone

(480) 704-7546

Fax

(480) 704-7549

NPI assigned

Mar 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Ohio University, College of Osteopathic Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saguaro Dermatology Associates LLCGroup PAC ID 3577892561, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.76 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.19

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Saguaro Dermatology Associates LLC

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1114485646
  Medicare reassignment Care Compare group NPD
• Saguaro Dermatology Associates LLC

  • Specialist
  • Mesa, AZ
  • NPI 1588797179
  NPD (past)
• The Center for Advanced Dermatology, P.C.

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1750470175
  NPD (past)

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1508325697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61025",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850821025",
            "telephone_number": "480-681-3300",
            "fax_number": "480-681-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 E AGAVE RD STE 148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440623",
            "telephone_number": "480-704-7546",
            "fax_number": "480-704-7549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13843 W Meeker Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755285",
            "country_code": "US",
            "telephone_number": "623-377-7546",
            "fax_number": "480-704-7549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850083884",
            "country_code": "US",
            "telephone_number": "480-681-3300",
            "fax_number": "480-681-3301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 S Dobson Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852026487",
            "country_code": "US",
            "telephone_number": "480-820-9774",
            "fax_number": "480-681-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "MICHAEL",
        "middle_name": "OWEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "010270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Elizabeth McBride, FNP-C
• Jena McBride, LPC
• Jill Lynnette McBride, PA
• Justin B McBride, CRNA
• Kari McBride
• Michael Trent McBride, M.D.
• Pamela McBride, RN
• Soo Jin McBride
• Ran McBryde, APN
• Owen Thomas McCabe, MD

• Dermatology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dermatology Physician in Arizona

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

Verify at the official NPI Registry.