Jason M Angle, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301084484 Issued in MI

Practice address

12635 N 42ND St
Linda Stein
Phoenix, AZ 85032-7601

Phone

(602) 494-5500

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.angle.1@5919.direct.athenahealth.com
• Direct secure messaging: jangle9540@evernorth.direct-ci.com

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.

• Cigna Health Care of Arizona Inc.

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1245338235
  NPD
• Cigna Health Care of Arizona Inc.

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1275604605
  NPD
• Cigna Health Care of Arizona Inc.

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1619048048
  NPD
• Cigna Health Care of Arizona Inc.

  • Multi-Specialty Clinic/Center
  • Tempe, AZ
  • NPI 1649341298
  NPD
• Cigna Health Care of Arizona Inc.

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1942371679
  NPD
• Cigna Healthcare of Arizona, Inc.

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1073626404
  NPD

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1649238403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12635 N 42ND ST",
            "address_2": "LINDA STEIN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327601",
            "telephone_number": "602-494-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12635 N 42ND ST",
            "address_2": "LINDA STEIN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327601",
            "telephone_number": "602-494-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLE",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301084484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4795978",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angels Valley Community Healthcare Center PLLC
• Angels Valley Concierge Healthcare Center PLLC
• Angels Valley Legs Care Center PLLC
• Jack Anger
• Angie'S Angels Home Heath Care, LLC
• Smith Angoh Angoh
• Nichole Anguilm, RDN
• Alonso Alfredo Angulo, AA, RBT
• Pablo Andres Angulo, D.O.
• Tina Eileen Angulo, RN

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.

Verify at the official NPI Registry.