Joshua E Motl, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5678 Issued in AZ

Practice address

20172 E Stagecoach TRL
Cordes Lakes, AZ 86333

Phone

(928) 632-4399

NPI assigned

Mar 21, 2014

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
• Direct secure messaging: joshua.motl.1@19654.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4

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.

• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622
  Medicare reassignment Care Compare group
• Brian S Page DO LLC

  • Pain Medicine Physician
  • Glendale, AZ
  • NPI 1821282666
  Medicare reassignment NPD
• Nextcare Arizona LLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1043371826
  Medicare reassignment
• Canyon Medical Clinic LLC

  • Family Medicine Physician
  • Black Canyon City, AZ
  • NPI 1356834642
  Authorized official Same address or phone
• Brian S Page DO LLC

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
  • NPI 1205645447
  NPD
• Nextcare Arizona I JV LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1114798071
  NPD
• Allen Family Medicine PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1356614176
  NPD (past)
• Desert Dreams Anesthesia, PLLC

  • Anesthesiology Physician
  • Glendale, AZ
  • NPI 1487019246
  NPD (past)

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1588081087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14534 W HIDDEN TERRACE LOOP",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853400989",
            "telephone_number": "218-371-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20172 E STAGECOACH TRL",
            "city": "CORDES LAKES",
            "state": "AZ",
            "postal_code": "86333",
            "telephone_number": "928-632-4399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34501 S Old Black Canyon Hwy # 3",
            "address_purpose": "LOCATION",
            "city": "Black Canyon City",
            "state": "AZ",
            "postal_code": "853249723",
            "country_code": "US",
            "telephone_number": "218-371-9340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12262 E Bradshaw Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Dewey",
            "state": "AZ",
            "postal_code": "863276032",
            "country_code": "US",
            "telephone_number": "928-772-1673",
            "fax_number": "602-218-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTL",
        "first_name": "JOSHUA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-21",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912701",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimila Mobley McFarland, LMT
• Northern Arizona Pharmacy LLC (Cordes Pharmacy)

• Physician Assistant in Cordes Lakes, AZ
• Providers in Cordes Lakes, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.