Individual provider Active NPI

Michael Brady Page, PA-S

  • Physician Assistant
  • New Albany, MS
National Provider Identifier
1790909414
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PENDING Issued in MS
Practice address
206 Oxford Rd
New Albany, MS 38652-3115
Phone
(662) 534-2227
Fax
(662) 534-2330
NPI assigned
Apr 12, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PENDING MS Primary

Addresses

Primary practice location

206 Oxford Rd
New Albany, MS 38652-3115

Mailing address

1725 Highway 30 West
Myrtle, MS 38650
Phone (662) 534-4451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20080303000253 MS Practitioner - Physician Assistant 9436233327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartan Orthopaedics, LLCGroup PAC ID 4880778786, 9 clinicians

Practice addresses (Care Compare)

206 Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-2227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as individual
Quality
88.41
Promoting interoperability
100
Improvement activities
40
Cost
70.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGMSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Express Holding Company, LLC Physician Assistant CurrentSince Apr 1, 2008 Accepting new patients
Spartan Orthopaedics, LLC Physician Assistant CurrentSince Apr 1, 2008 Accepting new patients

Locations

206 Oxford Rd
New Albany, MS 38652
Phone 6625342298223

6518 Goodman Rd
Ste 104
Olive Branch, MS 38654
Phone (662) 420-7350

Interoperability endpoints

  • Direct secure messaging: michael.page.1@11099.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1790909414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 HIGHWAY 30 WEST",
            "city": "MYRTLE",
            "state": "MS",
            "postal_code": "38650",
            "telephone_number": "662-534-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 OXFORD RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523115",
            "telephone_number": "662-534-2227",
            "fax_number": "662-534-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "MICHAEL",
        "middle_name": "BRADY",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.