Individual provider Active NPI

Evan J Norwil, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1023592953
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7226 Issued in AZ
Practice address
4350 E Camelback Rd
Suite G100
Phoenix, AZ 85018-8312
Phone
(602) 840-3120
Fax
(602) 840-3237
NPI assigned
Sep 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7226 AZ Primary

Addresses

Primary practice location

4350 E Camelback Rd
Suite G100
Phoenix, AZ 85018-8312

Mailing address

4350 E Camelback Rd Ste G100
Phoenix, AZ 85018-8312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210003245 AZ Practitioner - Physician Assistant 1355685801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasant Pediatrics PLC Past Accepting new patients
Pleasant Pediatrics PastSince Dec 6, 2022 Accepting new patients
Pleasant Pediatrics PLC Past Accepting new patients
Pleasant Pediatrics PLC PastSince Apr 1, 2021 Accepting new patients
Camelback Pediatrics PC PastSince Jul 28, 2019 Accepting new patients
Pleasant Pediatrics PLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFCEAA/Endpoint/AFCEAA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1023592953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 E CAMELBACK RD STE G100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E CAMELBACK RD",
            "address_2": "SUITE G100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188312",
            "telephone_number": "602-840-3120",
            "fax_number": "602-840-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORWIL",
        "first_name": "EVAN",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-17",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.