Active NPI
Abby Michele Nasternak, PA C
- Medical Physician Assistant
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3033
- Practice address
- 9494 W Northern Ave
101
Glendale, AZ 85305-1118 - Phone
- (623) 872-2226
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3033 | AZ | Primary |
Addresses
Primary practice location
9494 W Northern Ave
101
Glendale, AZ 85305-1118
Mailing address
2550 N Thunderbird Cir
Mesa, AZ 85215-1214
Phone (480) 353-2235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 885048 | Medicaid | AZ |
Other names 1
- Abby Michele Johnson
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 |
|---|---|---|---|
| 3033 | AZ | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Punyakam PLLC | Past | Accepting new patients | |
| Central Arizona Gi & Liver Institute LLC | Past | Accepting new patients | |
| Reddy Gi Associates | Past | Accepting new patients | |
| Clinical Associates in Internal Medicine, LTD | Past | Accepting new patients | |
| Arizona Gastroenterology and Liver Clinic,P.C. | Past | Accepting new patients |
Locations
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
19636 N 27th Ave
Ste 408
Phoenix, AZ 85027
Phone (623) 780-0100
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
2500 W Utopia Rd
Phoenix, AZ 85027
Phone (602) 812-3080
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
3501 N Scottsdale Rd
Ste 320
Scottsdale, AZ 85251
Phone (480) 424-7228
Interoperability endpoints
- abby.nasternak@ospi.directbygreenway.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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Chandler, AZ
- NPI 1104871961
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1154953578
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Gastroenterology Physician
- Glendale, AZ
- NPI 1689614489
-
- Ambulatory Surgical Clinic/Center
- Gilbert, AZ
- NPI 1164871075
-
- Specialist
- Phoenix, AZ
- NPI 1073794566
-
- Family Medicine Physician
- Gilbert, AZ
- NPI 1073807202
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1508399544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1689645467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 N THUNDERBIRD CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852151214",
"telephone_number": "480-353-2235",
"fax_number": "480-776-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9494 W NORTHERN AVE",
"address_2": "101",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853051118",
"telephone_number": "623-872-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASTERNAK",
"first_name": "ABBY",
"middle_name": "MICHELE",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "3033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "885048",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ABBY",
"last_name": "JOHNSON",
"middle_name": "MICHELE",
"credential": "PA C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.