Active NPI
Sylvia Elizabeth McMinn, PA-C
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1063631760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5672
- Practice address
- 1201 S 7TH Ave Ste 200
Phoenix, AZ 85007-4076 - Phone
- (623) 236-2000
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003413-1 | NY | |
| Physician Assistant | 363A00000X | PA00667 | TX | |
| Medical Physician Assistant | 363AM0700X | NMPA20070013 | NM | |
| Physician Assistant | 363A00000X | 5672 | AZ | Primary |
Addresses
Primary practice location
1201 S 7TH Ave Ste 200
Phoenix, AZ 85007-4076
Mailing address
10710 E Becker LN
Scottsdale, AZ 85259-3873
Phone (928) 589-7093
Other practice location 1
275 E Rivulon Blvd Ste 201
Gilbert, AZ 85297-0008
Phone (602) 734-5664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5672 | AZ | MD | Occupational Therapist |
| 003413-1 | NY | MD | Speech-Language Pathologist |
| NMPA20070013 | NM | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alsham Medical PLLC | Past | Accepting new patients | |
| Integrated Premier Group Ipg | Past | Accepting new patients | |
| Southwest Behavioral Health Services, Inc | Past | Accepting new patients | |
| Kidney Guardian | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1780815712
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1497176788
-
- Nephrology Physician
- Tempe, AZ
- NPI 1013475326
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flagstaff, AZ
- NPI 1316170368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1063631760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10710 E BECKER LN",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852593873",
"telephone_number": "928-589-7093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S 7TH AVE STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850074076",
"telephone_number": "623-236-2000"
}
],
"practiceLocations": [
{
"address_1": "275 E Rivulon Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852970008",
"country_code": "US",
"telephone_number": "602-734-5664",
"fax_number": "480-401-3844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMINN",
"first_name": "SYLVIA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "003413-1",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA00667",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NM",
"license": "NMPA20070013",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "5672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.