Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Joseph Puchowicz, MD

Individual provider Pediatric Sports Medicine Physician · NPI 1134452303

Michael Joseph Puchowicz, MD is a Sports Medicine in Lakeside, Arizona. Graduated from Vanderbilt University School of Medicine in 2007, 19 years ago. Practices with Phoenix Children's Hospital, a 430-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
19
Trained at
Vanderbilt University School of Medicine
Licensed in
AZ
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4830 Highway 260 Ste 102
Lakeside, AZ 85929-5845
Phone: (928) 537-1040
Fax: (928) 537-1042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Sports Medicine Physician (primary) Taxonomy 2080S0010X · Licence 44940 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence 44940 (AZ)

Record details

NPI number1134452303
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 4, 2009
Last updated in NPPESApril 6, 2012
Mailing address4830 Highway 260, Suite 102, Lakeside, AZ 85929-5845

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Phoenix Children'S Hospital — 430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount