Individual provider Active NPI

Michelle A Armijo, PA

  • Physician Assistant
  • Avondale, AZ
National Provider Identifier
1508815267
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2501 Issued in AZ
Practice address
3400 N Dysart Rd
Ste H131
Avondale, AZ 85392-1003
Phone
(623) 535-9777
Fax
(623) 236-3179
NPI assigned
May 9, 2006
Last updated
Aug 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2501 AZ Primary
Orthopaedic Surgery Physician 207X00000X 2501 AZ

Addresses

Primary practice location

3400 N Dysart Rd
Ste H131
Avondale, AZ 85392-1003

Mailing address

3400 N Dysart Rd
Ste H131
Avondale, AZ 85392-1003
Phone (623) 535-9777

Other identifiers 1

IdentifierTypeStateIssuer
795958MedicaidAZ

Other names 1

  • Michelle A. Pollack Former 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
I20040422001463 AZ Practitioner - Physician Assistant 4880680008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400

20950 N Tatum Blvd
Suite 100
Phoenix, AZ 85050-4204
Phone (480) 222-7246

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2501AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Healthcare Corp CurrentSince Sep 28, 2021 Accepting new patients
Toca at Banner Health LLC Orthopaedic Surgery CurrentSince May 1, 2020 Accepting new patients
Modern Sports Medicine LLC CurrentSince Nov 17, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 28, 2021 Accepting new patients
Toca at Banner Health LLC Orthopaedic Surgery CurrentSince May 1, 2020 Accepting new patients
Honorhealth Ambulatory Orthopaedic Surgery Past Accepting new patients
Total Orthopedics,LLC Past Accepting new patients

Locations

4025 W Chandler Blvd
Ste 1
Chandler, AZ 85226
Phone (480) 222-7246

5590 W Chandler Blvd
Ste 4
Chandler, AZ 85226
Phone (480) 786-4969

18700 N 64th Dr
Ste 205
Glendale, AZ 85308
Phone (602) 536-7480

20950 N Tatum Blvd
Ste 100
Phoenix, AZ 85050
Phone (480) 222-7246

2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165

2222 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (602) 483-6165

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

9377 E Bell Rd
Ste 231
Scottsdale, AZ 85260
Phone (602) 313-1549

10450 E Riggs Rd
Ste 104
Sun Lakes, AZ 85248
Phone (612) 888-5224

5002 S Mill Ave
Tempe, AZ 85282
Phone (602) 512-8607

Interoperability endpoints

  • Direct secure messaging: marmijo437915@direct.honorhealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1508815267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 N DYSART RD",
            "address_2": "STE H131",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921003",
            "telephone_number": "623-535-9777",
            "fax_number": "623-236-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N DYSART RD",
            "address_2": "STE H131",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921003",
            "telephone_number": "623-535-9777",
            "fax_number": "623-236-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMIJO",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2501",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "2501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "795958",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "POLLACK",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.