Individual provider Active NPI

Justin Stevenson

  • Sports Medicine (Emergency Medicine) Physician
  • Glendale, AZ
National Provider Identifier
1114450699
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
59740 Issued in AZ
Practice address
4344 W Bell Rd Ste 102
Glendale, AZ 85308-3589
Phone
(602) 588-4040
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 59740 AZ
Sports Medicine (Emergency Medicine) Physician 207PS0010X 59740 AZ Primary

Addresses

Primary practice location

4344 W Bell Rd Ste 102
Glendale, AZ 85308-3589

Mailing address

6219 N 13TH St
Phoenix, AZ 85014-1736
Phone (480) 239-9482

Other practice location 1

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2382

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909003366 AZ Practitioner - Emergency Medicine 5496173346 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arizona College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

4344 W Bell Rd
Suite 102
Glendale, AZ 85308-3589
Phone (602) 588-4040

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59740AZMDSports Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Urgent Care, LLC CurrentSince Oct 9, 2023 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory Emergency Medicine CurrentSince Jul 31, 2025 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Oct 9, 2023 Accepting new patients
Scottsdale Healthcare Corporation CurrentSince Jul 31, 2025 Accepting new patients
Emcare - PNX Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Loop 101 Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
303 Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

16716 E Palisades Blvd
Ste 103
Fountain Hills, AZ 85268
Phone (480) 587-6550

3645 S Rome St
Ste 204
Gilbert, AZ 85297
Phone (480) 534-4520

4344 W Bell Rd
Ste 102
Glendale, AZ 85308
Phone (602) 588-4040

6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200

1124 E McKellips Rd
Ste 102
Mesa, AZ 85203
Phone (480) 587-5520

15000 N 83rd Ave
Unit 305
Peoria, AZ 85381

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

33423 N 32nd Ave
Ste 101
Phoenix, AZ 85085

1515 E Bethany Home Rd
Ste 120B
Phoenix, AZ 85014
Phone (480) 324-7231

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

9250 N 3rd St
Ste 2035
Phoenix, AZ 85020
Phone (602) 786-0175

18404 N Tatum Blvd
Ste 101C
Phoenix, AZ 85032
Phone (602) 485-7475

2222 E Highland Ave
Ste 425
Phoenix, AZ 85016
Phone (602) 667-6640

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000

9700 N 91st St
Ste B108
Scottsdale, AZ 85258
Phone (480) 587-6550

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

20401 N 73rd St
Ste 210
Scottsdale, AZ 85255
Phone (480) 688-2075

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

14674 W Mountain View Blvd
Ste 115
Surprise, AZ 85374

Interoperability endpoints

  • Direct secure messaging: jstevenson399368@direct.honorhealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1114450699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6219 N 13TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141736",
            "telephone_number": "480-239-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 W BELL RD STE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083589",
            "telephone_number": "602-588-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 E Dunlap Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850202825",
            "country_code": "US",
            "telephone_number": "602-943-2382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "59740",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "AZ",
            "license": "59740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.