Joshua K Jeter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6172 Issued in AZ

Practice address

2122 E Highland Ave Ste 300
Phoenix, AZ 85016-4744

Phone

(602) 553-3113

Fax

(602) 667-7991

NPI assigned

Nov 27, 2012

Last updated

Jun 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Louisiana State University School of Medicine in Shreveport, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Center for Hand Surgery PCGroup PAC ID 4880585603, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arizona Orthopedic and Surgical Specialty Hospital Hospital, Phoenix, AZ, CCN 030112

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joshua.jeter@ospi.directbygreenway.com

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.

• Arizona Center for Hand Surgery PC

  dba Arizona Center for Hand to Shoulder Surgery

  • Surgery of the Hand (Surgery) Physician
  • Phoenix, AZ
  • NPI 1972502227
  Medicare reassignment Care Compare group NPD
• Physician Group of Arizona Inc

  dba Steward Medical Group of Arizona

  • Specialist
  • Phoenix, AZ
  • NPI 1518137520
  Medicare reassignment
• Arizona Center for Hand Surgery PC

  dba Arizona Center for Hand to Shoulder Surgery

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1467284828
  NPD
• Physician Group of Arizona Inc

  dba Steward Orthopedic and Sports Medicine

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1558901215
  NPD
• Arizona Center for Hand Surgery PC

  dba Arizona Center for Hand to Shoulder Surgery

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
  • NPI 1609588235
  NPD (past)

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

• Orthopedic and Surgical Specialty Company, LLC

  dba Arizona Specialty Hospital

  • Special Hospital
  • Phoenix, AZ
  • NPI 1124163530
  Care Compare affiliation

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1811231194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 E HIGHLAND AVE STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164744",
            "telephone_number": "602-553-3113",
            "fax_number": "602-667-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 E HIGHLAND AVE STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164744",
            "telephone_number": "602-553-3113",
            "fax_number": "602-667-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETER",
        "first_name": "JOSHUA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-27",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "003655",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Jessup, LAC
• Frank Q. Jesus, MA, LISAC
• Allen Jeter, DD,MAC,CDDC
• Cressa Elaine Jeter, M. ED.
• Edgar Rogers Jeter, RPH
• Hursh Jetly, DO
• Jetmed
• Runa Kimberly Jetmund, M.S. SLP
• Erica Christine Jette, MSW
• Margaret K Jetty, M.S., CCC-SLP

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.