Active NPI
Zachary Migliore, PA-C
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1588375596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9974
- Practice address
- 3330 N 2ND St Ste 401
Phoenix, AZ 85012-2371 - Phone
- (602) 606-8949
- Fax
- (602) 759-7409
- NPI assigned
- Dec 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9974 | AZ | Primary |
Addresses
Primary practice location
3330 N 2ND St Ste 401
Phoenix, AZ 85012-2371
Mailing address
2700 N Hayden Rd Apt 2076
Scottsdale, AZ 85257-1762
Phone (708) 715-9706
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9974 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kumar Ravi MD Facc PC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/18634/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Clinical Cardiac Electrophysiology Physician
- Phoenix, AZ
- NPI 1699265207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1588375596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 N HAYDEN RD APT 2076",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852571762",
"telephone_number": "708-715-9706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 N 2ND ST STE 401",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122371",
"telephone_number": "602-606-8949",
"fax_number": "602-759-7409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGLIORE",
"first_name": "ZACHARY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-09",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.