JAMES M MICK (NPI# 1336118926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336118926 |
| Entity Type | Individual |
| Full Name | JAMES M MICK |
| Credential | MD |
| Practice Address |
2120 Centerpointe West Drive Prescott AZ 86301 |
| Practice Telephone | 9284431111 |
| Practice Fax Number | 9284435554 |
| Mailing Telephone | 9284431111 |
| Mailing Fax Number | 9284435554 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2008-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 16159 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 258097 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427028000 | James M Mick | Radiology | 3601 W 13 Mile Rd, Beaumont Hospital - Ro, Royal Oak, MI 48073-6712 | 2006-01-25 |
| Street Address |
2120 CENTERPOINTE WEST DRIVE |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124243688 | Ponderosa Pediatricss Plc | Pediatrics | 2120 Centerpointe West Drive, Prescott, AZ 86301 | 2007-04-17 |
| 1881653558 | Matthew J Hinton | Pediatrics | 2120 Centerpointe West Drive, Prescott, AZ 86301 | 2006-03-21 |
| 1629047097 | Elizabeth L Howard | Nurse Practitioner | 2120 Centerpointe West Drive, Prescott, AZ 86301 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225212905 | Arizona Adult and Pediatric Medicine PC | Pediatrics | 743 Miller Valley Road, Prescott, AZ 86301-1813 | 2007-12-18 |
| 1073516589 | David Andrew Green | Pediatrics | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2005-05-30 |
| 1790053049 | Kathryn T Ballard Md | Pediatrics | 811 Ainsworth Dr Ste 106, Prescott, AZ 86301-1687 | 2011-12-01 |
| 1639457245 | Jennifer Evans Tidroski | Pediatrics | 2120 Centerpointe West Dr, Prescott, AZ 86301-8487 | 2011-07-31 |
| 1265766984 | Ronael Eckman | Pediatrics | 2120 Centerpointe West Dr, Prescott, AZ 86301-8487 | 2009-09-29 |
| 1124243688 | Ponderosa Pediatricss Plc | Pediatrics | 2120 Centerpointe West Drive, Prescott, AZ 86301 | 2007-04-17 |
| 1861548679 | Lourdes R Jacobo | Pediatrics | 2120 Centerpointe West Dr, Prescott, AZ 86301-8487 | 2007-01-26 |
| 1881653558 | Matthew J Hinton | Pediatrics | 2120 Centerpointe West Drive, Prescott, AZ 86301 | 2006-03-21 |
| 1285604504 | Kathryn T Ballard | Pediatrics | 1090 Commerce Dr, Prescott, AZ 86305 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272700 | Pediatric Multicare West, LLC | Pediatrics | 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 | 2020-10-12 |
| 1629614466 | Kayla Leanne Cantu | Pediatrics | 15264 W Brookside Ln Ste 155, Surprise, AZ 85374-3997 | 2019-11-26 |
| 1306487350 | Roots Pediatric Therapy, LLC | Pediatrics | 7340 E Legacy Blvd Unit C2006, Scottsdale, AZ 85255-6388 | 2019-10-01 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1952965212 | Jeremey William Gneck | Pediatrics | 1625 N Campbell Ave Tucson Az 85719, Tucson, AZ 85724-0001 | 2019-04-23 |
| 1164985305 | Desert Sky Pediatrics | Pediatrics | 3301 N Miller Rd Ste 170, Scottsdale, AZ 85251-6421 | 2019-04-12 |
| 1780146829 | Jb Healthcare LLC | Pediatrics | 10575 W Indian School Rd Ste 103, Avondale, AZ 85392-5651 | 2019-04-05 |
| 1902370349 | Dwayne St. Jacques Md Pllc | Pediatrics | 15215 South 48th Street, Suite 110, Phoenix, AZ 85044-9375 | 2019-01-18 |
| 1245703966 | Pleasant Pediatrics Plc | Pediatrics | 15715 S 46th St Ste 102, Phoenix, AZ 85048-0439 | 2019-01-04 |
| 1992295158 | Melanie Anne Kaplanek | Pediatrics | 1501 N Campbell Ave Rm 3301, Tucson, AZ 85724-0001 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.