Individual provider Active NPI

Sylvia Elizabeth McMinn, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1063631760
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5672 Issued in AZ
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5672AZMDOccupational Therapist
003413-1NYMDSpeech-Language Pathologist
NMPA20070013NMMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alsham Medical PLLC PastSince Sep 1, 2009 Accepting new patients
Integrated Premier Group Ipg Past Accepting new patients
Southwest Behavioral Health Services, Inc PastSince Sep 1, 2023 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.

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.

Verify at the official NPI Registry.