Active NPI
Aaron Mickelson, D.O.
- Emergency Medicine Physician
- Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS12518
- Practice address
- 4300 Alton Rd
Miami Beach, FL 33140-2948 - Phone
- (305) 535-7953
- NPI assigned
- Jan 30, 2013
- Last updated
- Feb 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS12518 | FL | Primary |
| Emergency Medicine Physician | 207P00000X | 6572 | AZ |
Addresses
Primary practice location
4300 Alton Rd
Miami Beach, FL 33140-2948
Mailing address
4300 Alton Rd
Miami Beach, FL 33140-2948
Phone (305) 535-7953
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4328 E Chandler Blvd
Phoenix, AZ 85048-8839
Phone (888) 732-3317
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler Emergency Medical Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Tec Emergency Physicians of Arizona, LLC | Current | Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
4328 E Chandler Blvd
Phoenix, AZ 85048
Phone (480) 454-3630
1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300
5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Dignity Health Arizona General Hospital | Hospital | Corporate Officer W-2 Managing Employee |
May 1, 2022 May 1, 2022 |
Owned or controlled facilities with NPI records 12
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Dignity Health Arizona General Hospital Emergency Room
- Emergency Care Clinic/Center
- Mesa, AZ
- NPI 1053853978
Corporate Officer, W-2 Managing Employee
-
dba Dignity Health Arizona Genral Hospital Emergemcy Room
- Emergency Care Clinic/Center
- Goodyear, AZ
- NPI 1083165849
Corporate Officer, W-2 Managing Employee
-
dba Dignity Health Arizona General Hospital Emergency Room
- Emergency Care Clinic/Center
- Glendale, AZ
- NPI 1114466950
Corporate Officer, W-2 Managing Employee
-
dba Dignity Health Arizona General Hospital
- General Acute Care Hospital
- Laveen, AZ
- NPI 1154748416
Corporate Officer, W-2 Managing Employee
-
dba Dignity Health Arizona General Hospital Emergency Room
- Emergency Care Clinic/Center
- Mesa, AZ
- NPI 1154872950
Corporate Officer, W-2 Managing Employee
-
dba Dignity Health Arizona General Hospital Emergency Room
- Emergency Care Clinic/Center
- Chandler, AZ
- NPI 1205378171
Corporate Officer, W-2 Managing Employee
-
dba Dignity Health Arizona General Hospital Emergency Room
- Emergency Care Clinic/Center
- Surprise, AZ
- NPI 1235680034
Corporate Officer, W-2 Managing Employee
-
dba Dignity Health Arizona General Hospital Emergency Room
- Emergency Care Clinic/Center
- Glendale, AZ
- NPI 1275084030
Corporate Officer, W-2 Managing Employee
-
dba Dignity Health Arizona General Hospital Emergency Room
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1447700968
Corporate Officer, W-2 Managing Employee
-
dba Dignity Health Arizona General Hospital Emergency Room
- Emergency Care Clinic/Center
- Chandler, AZ
- NPI 1508317306
Corporate Officer, W-2 Managing Employee
-
dba Dignity Health Arizona General Hospital Emergency Room
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1548711302
Corporate Officer, W-2 Managing Employee
-
dba Dignity Health Arizona General Hospital Emergency Room
- Emergency Care Clinic/Center
- Gilbert, AZ
- NPI 1750831145
Corporate Officer, W-2 Managing Employee
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.
-
- Emergency Care Clinic/Center
- Gilbert, AZ
- NPI 1245772870
-
dba Premier Emergency Medical Specialists
- Emergency Medicine Physician
- Chandler, AZ
- NPI 1104871961
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dignity Health Arizona General Hospital Emergency Room - Gilbert
- Emergency Care Clinic/Center
- Gilbert, AZ
- NPI 1043848294
Hospital
-
dba Dignity Health Arizona General Hospital Emergency Room - Chandler
- Emergency Care Clinic/Center
- Chandler, AZ
- NPI 1124656376
Hospital
-
dba Dignity Health Arizona General Hospital Emergency Room - Chandler McQu
- Emergency Care Clinic/Center
- Chandler, AZ
- NPI 1164050316
Hospital
-
dba Dignity Health Arizona General Hospital Emergency Room - Mesa
- Emergency Care Clinic/Center
- Mesa, AZ
- NPI 1275161523
Hospital
-
dba Dignity Health Arizona General Hospital Emergency Room
- Emergency Care Clinic/Center
- San Tan Valley, AZ
- NPI 1407313109
Hospital
-
dba Dignity Health Arizona General Hospital Emergency Room
- Emergency Care Clinic/Center
- Tempe, AZ
- NPI 1528525227
Hospital
-
dba Dignity Health Arizona General Hospital Emergency Room - Ahwatukee
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1538797782
Hospital
-
dba Dignity Health Arizona General Hospital
- General Acute Care Hospital
- Mesa, AZ
- NPI 1689121188
-
dba Dignity Health Arizona General Hospital Emergency Room - Mesa Baseline
- Emergency Care Clinic/Center
- Mesa, AZ
- NPI 1932737277
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423958400000",
"number": "1861730541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 ALTON RD",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402948",
"telephone_number": "305-535-7953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 ALTON RD",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402948",
"telephone_number": "305-535-7953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKELSON",
"first_name": "AARON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-30",
"last_updated": "2015-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS12518",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "6572",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.