Individual provider Active NPI

Joshua N Gothelf, PA-C

  • Medical Physician Assistant
  • Mesa, AZ
National Provider Identifier
1518325265
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8983 Issued in AZ
Practice address
2919 S Ellsworth Rd Ste 111
Mesa, AZ 85212-2165
Phone
(480) 564-1185
Fax
(480) 590-4375
NPI assigned
Feb 9, 2016
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 7057360001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 704516001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 70349500001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7046960001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7209350001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7939960001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7629170001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7047150001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 8220410001 AZ
Medical Physician Assistant 363AM0700X 8983 AZ Primary

Addresses

Primary practice location

2919 S Ellsworth Rd Ste 111
Mesa, AZ 85212-2165

Mailing address

1839 S Alma School Rd Ste 354
Mesa, AZ 85210-3028
Phone (480) 726-2287

Other practice location 1

270 E Hunt Hwy Ste A-2
San Tan Valley, AZ 85143-4962
Phone (480) 882-2222

Other practice location 2

1277 E Missouri Ave Ste 101
Phoenix, AZ 85014-2916
Phone (602) 296-4060

Other practice location 3

3130 E Baseline Rd Ste 107
Mesa, AZ 85204-7290
Phone (480) 345-1980

Other practice location 4

3011 S Lindsay Rd Ste 101
Gilbert, AZ 85295-4333
Phone (480) 726-2500

Other practice location 5

20860 N Tatum Blvd Ste 290
Phoenix, AZ 85050-4282
Phone (480) 563-1144

Other practice location 6

14239 W Bell Rd Ste 108
Surprise, AZ 85374-2470
Phone (623) 248-4283

Other practice location 7

2145 E Warner Rd Ste 104
Tempe, AZ 85284-3549
Phone (480) 664-9443

Other practice location 8

15256 N 75th Ave Ste 360
Peoria, AZ 85381-4761
Phone (623) 486-2424

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
I20220913003128 AZ Practitioner - Physician Assistant 9032490495 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc of East Mesa PLLCGroup PAC ID 1951773290, 7 clinicians

Practice addresses (Care Compare)

2919 S Ellsworth Rd
Suite 111
Mesa, AZ 85212-2165
Phone (480) 564-1185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70349500001AZMDDurable Medical Equipment & Medical Supplies
704516001AZMDDurable Medical Equipment & Medical Supplies
7046960001AZMDDurable Medical Equipment & Medical Supplies
7047150001AZMDDurable Medical Equipment & Medical Supplies
7057360001AZMDDurable Medical Equipment & Medical Supplies
7209350001AZMDDurable Medical Equipment & Medical Supplies
7629170001AZMDDurable Medical Equipment & Medical Supplies
7939960001AZMDDurable Medical Equipment & Medical Supplies
8220410001AZMDDurable Medical Equipment & Medical Supplies

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.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1518325265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 S ALMA SCHOOL RD STE 354",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103028",
            "telephone_number": "480-726-2287",
            "fax_number": "888-503-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122165",
            "telephone_number": "480-564-1185",
            "fax_number": "480-590-4375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 E Hunt Hwy Ste A-2",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851434962",
            "country_code": "US",
            "telephone_number": "480-882-2222",
            "fax_number": "480-882-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1277 E Missouri Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850142916",
            "country_code": "US",
            "telephone_number": "602-296-4060",
            "fax_number": "602-296-4146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 E Baseline Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852047290",
            "country_code": "US",
            "telephone_number": "480-345-1980",
            "fax_number": "480-926-1721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3011 S Lindsay Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852954333",
            "country_code": "US",
            "telephone_number": "480-726-2500",
            "fax_number": "480-726-2131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20860 N Tatum Blvd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504282",
            "country_code": "US",
            "telephone_number": "480-563-1144",
            "fax_number": "480-563-2371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14239 W Bell Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853742470",
            "country_code": "US",
            "telephone_number": "623-248-4283",
            "fax_number": "623-440-4255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2145 E Warner Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852843549",
            "country_code": "US",
            "telephone_number": "480-664-9443",
            "fax_number": "480-664-9378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15256 N 75th Ave Ste 360",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814761",
            "country_code": "US",
            "telephone_number": "623-486-2424",
            "fax_number": "623-486-4324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTHELF",
        "first_name": "JOSHUA",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7057360001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "704516001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "70349500001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7046960001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7209350001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7939960001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7629170001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7047150001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "8220410001",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "8983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.