Active NPI
Michael D Sweeten, PAC
- Medical Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2901
- Practice address
- 4530 E Muirwood Dr Ste 110
Phoenix, AZ 85048-7693 - Phone
- (480) 763-5808
- NPI assigned
- Apr 25, 2007
- Last updated
- Mar 7, 2023
- Sex
- Male
- 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 | 2901 | AZ | Primary |
Addresses
Primary practice location
4530 E Muirwood Dr Ste 110
Phoenix, AZ 85048-7693
Mailing address
5946 W Kesler LN
Chandler, AZ 85226-4488
Phone (480) 363-3987
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1059873 | Other | AZ | NATIONAL CERTIFICATION |
| 2901 | Other | AZ | STATE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3420 S Mercy Rd
Suite 221
Gilbert, AZ 85297-0424
Phone (480) 681-7134
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Associates, LTD | Current | Accepting new patients | |
| Neurosurgical Associates, LTD | Current | Accepting new patients |
Locations
1875 W Frye Rd
Ste 300
Chandler, AZ 85224
Phone (480) 917-5600
3420 S Mercy Rd
Ste 221
Gilbert, AZ 85297
Phone (480) 681-7374
4530 E Muirwood Dr
Ste 110
Phoenix, AZ 85048
Phone (480) 763-5808
2910 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 406-3008
2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008
4530 E Muirwood Dr
Phoenix, AZ 85048
Phone (480) 610-6981
Interoperability endpoints
- michael.sweeten.1@31799.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.
-
dba Barrow Brain and Spine
- Neurological Surgery Physician
- Phoenix, AZ
- NPI 1043202484
-
dba Barrow Brain and Spine
- Neurological Surgery Physician
- Phoenix, AZ
- NPI 1013797844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1952520058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5946 W KESLER LN",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852264488",
"telephone_number": "480-363-3987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487693",
"telephone_number": "480-763-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEETEN",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "2901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION",
"identifier": "1059873",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2901",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.