MR. THOMAS MICHAEL NAGLE PA-C NPI 1316057714

NPI Information

NPI: 1316057714
Provider Name: MR. THOMAS MICHAEL NAGLE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
2080 W. SOUTHERN AVE
STE A1
APACHE JUNCTION, AZ
ZIP 85120
Phone: (480) 985-0172
Get Directions

MR. Thomas Michael Nagle, PA-C is a surgical physician assistant in Apache Junction, AZ. MR. Thomas Michael Nagle, PA-C NPI is 1316057714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2080 W. SOUTHERN AVE
STE A1
APACHE JUNCTION, AZ
ZIP 85120-653
Phone: (480) 985-0172
Fax: (480) 985-0173

The enumeration date for this NPI number is 8/30/2006 and was last updated on 11/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA10005053	WASHINGTON	No
2	363AS0400X	Physician Assistant	Surgical	2828	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P57971	MEDICARE UPIN
2	PA10005053	OTHER	WASHINGTON	STATE LICENSE
3	75942	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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