Healthcare Provider Details

I. General information

NPI: 1912675463
Provider Name (Legal Business Name): COMPTON MEDICAL CLINIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2021
Last Update Date: 05/04/2025
Certification Date: 05/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1757 E BASELINE RD STE 105
GILBERT AZ
85233-1533
US

IV. Provider business mailing address

70 S VAL VISTA DR STE A3-646
GILBERT AZ
85296-1374
US

V. Phone/Fax

Practice location:
  • Phone: 480-508-2700
  • Fax: 866-371-2839
Mailing address:
  • Phone: 480-508-2700
  • Fax: 866-371-2839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL COMPTON
Title or Position: DOCTOR/OWNER
Credential: DC, FNP-C, MSN, RNFA
Phone: 480-508-2700