STACIE GOOCH MICHAELIS (NPI# 1194987545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194987545 |
Entity Type | Individual |
Full Name | STACIE GOOCH MICHAELIS |
Other Name | STACIE LEIGH GOOCH |
Credential | D.O. |
Practice Address |
9787 N 91st St Ste 101 Scottsdale AZ 85258-5088 |
Mailing Address |
Po Box 6408 Scottsdale AZ 85261-6408 |
Practice Telephone | 4805636400 |
Practice Fax Number | 4805638009 |
Mailing Telephone | 4805636400 |
Mailing Fax Number | 4805638009 |
Enumeration Date | 2008-06-26 |
Last Update Date | 2020-10-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | 20A12270 | CA | Allopathic & Osteopathic Physicians |
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
7640 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
9787 N 91ST ST STE 101 |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85258-5088 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659338887 | Jack Anderson | Emergency Medicine | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2006-05-01 |
1558923227 | Jana Michelle Haney | Family Medicine | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2019-07-02 |
1366964108 | Laura Newsom | Nurse Practitioner | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2017-07-13 |
1982096418 | Camilla Binks | Nurse Practitioner | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2015-02-20 |
1508150988 | Richard Frank Holt | Physical Medicine & Rehabilitation | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2011-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
1790396943 | Arielle Dawne Bohorquez | Registered Nurse | 10466 N 74th Street Suite 150, Scottsdale, AZ 85258 | 2020-08-12 |
1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
1801378377 | Michelle Marie Kometh | Social Worker | 9449 N 90th St Suite 205, Scottsdale, AZ 85258 | 2018-08-31 |
1275028862 | Sarah Maria Goff | Dentist | 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 | 2018-06-26 |
1508353582 | Brittany Rose Carey | Nurse Practitioner | Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 | 2018-04-16 |
1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
Find all providers in zip 85258 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043832223 | Desert Anesthesia Specialists LLC | Anesthesiology | 8865 E Bell Rd Ste 101, Scottsdale, AZ 85260-1594 | 2020-05-11 |
1891344958 | Orion Pain Corp | Anesthesiology | 16700 N Thompson Peak Pkwy Ste 170, Scottsdale, AZ 85260-2386 | 2019-09-10 |
1558826438 | Agave Anesthesia LLC | Anesthesiology | 5533 E Bell Rd Ste 111, Scottsdale, AZ 85254-1256 | 2019-02-05 |
1164916953 | Orion Pain Physicians Pllc | Anesthesiology | 10133 N 92nd St., Suite 102, Scottsdale, AZ 85258-4805 | 2018-06-15 |
1497153944 | Pain Centers of America, LLC | Anesthesiology | 9100 East Raintree Drive, Suite 248, Scottsdale, AZ 85260 | 2014-12-16 |
1649600230 | Multispecialty Group of Arizona LLC | Anesthesiology | 9382 E Bahia Dr, Ste B202, Scottsdale, AZ 85260-1580 | 2013-11-18 |
1124246921 | Minesh Ramesh Zaveri | Anesthesiology | 9500 E. Ironwood Square Drive, Suite 125, Scottsdale, AZ 85258-4582 | 2007-04-24 |
1952346744 | Advanced Pain Specialists | Anesthesiology | 8865 E. Bell Rd, Suite #101, Scottsdale, AZ 85260-1502 | 2006-06-17 |
1376538496 | Mark Jonathan Rubin | Anesthesiology | 9015 E Pima Center Pkwy, Suite 1, Scottsdale, AZ 85258-4613 | 2005-09-14 |
1447866249 | Navmed | Anesthesiology | 4400 N Scottsdale Rd Ste 9-332, Scottsdale, AZ 85251-3331 | 2020-09-17 |
Find all providers in SCOTTSDALE |
City | SCOTTSDALE |
Zip Code | 85258 |
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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.