Individual provider Active NPI

Joseph B Earl, PA

  • Medical Physician Assistant
  • Peoria, AZ
National Provider Identifier
1831246669
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3592 Issued in AZ
Practice address
7615 W Thunderbird Rd Ste 105
Peoria, AZ 85381-6083
Phone
(623) 878-5800
Fax
(623) 878-5807
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3592 AZ Primary

Addresses

Primary practice location

7615 W Thunderbird Rd Ste 105
Peoria, AZ 85381-6083

Mailing address

7615 W Thunderbird Rd Ste 105
Peoria, AZ 85381-6083
Phone (623) 878-5800

Other identifiers 2

IdentifierTypeStateIssuer
173018MedicaidAZ
3592OtherAZSTATE LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000563 AZ Practitioner - Physician Assistant 7517968795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

13840 W Camelback Rd
Suite 10
Litchfield Park, AZ 85340-3084
Phone (602) 853-4057

14800 W Mountain View Blvd
Suite 190
Surprise, AZ 85374-2700
Phone (623) 385-7299

17688 W Elliot Rd
Goodyear, AZ 85338-9009
Phone (623) 889-6823

18589 N 59TH Ave
Suite 101
Glendale, AZ 85308-1258
Phone (602) 547-2600

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226

9745 W Bell Rd
Suite 105
Sun City, AZ 85351-1371
Phone (623) 742-2999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3592AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Akos Primary Care, LLC Past Accepting new patients
We Care Urgent Care Centers PLLC Past Accepting new patients
Palo Verde Family Medicine PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joseph.earlpac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1831246669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 W THUNDERBIRD RD STE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816083",
            "telephone_number": "623-878-5800",
            "fax_number": "623-878-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 W THUNDERBIRD RD STE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816083",
            "telephone_number": "623-878-5800",
            "fax_number": "623-878-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARL",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173018",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3592",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.