Individual provider Active NPI

Theresa Elizabeth Pinder, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1124047246
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2496 Issued in AZ
Practice address
6970 E Chauncey LN Ste 100
Phoenix, AZ 85054-5158
Phone
(602) 788-7211
Fax
(602) 788-1890
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 2496 AZ Primary

Addresses

Primary practice location

6970 E Chauncey LN Ste 100
Phoenix, AZ 85054-5158

Mailing address

6970 E Chauncey LN Ste 100
Phoenix, AZ 85054-5158
Phone (602) 788-7211

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
I20050525000276 AZ Practitioner - Physician Assistant 1254373749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Center for Allergy and Chest DiseasesGroup PAC ID 2668453697, 7 clinicians

Practice addresses (Care Compare)

6970 E Chauncey LN
Suite 100
Phoenix, AZ 85054-5158
Phone (602) 788-7211

Hospital & facility affiliations

  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2496AZMDDentist

Organizations & group practices 1

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 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1124047246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6970 E CHAUNCEY LN STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545158",
            "telephone_number": "602-788-7211",
            "fax_number": "602-788-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 E CHAUNCEY LN STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545158",
            "telephone_number": "602-788-7211",
            "fax_number": "602-788-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINDER",
        "first_name": "THERESA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.