Active NPI
Julie Beth Stavinoha, MD
- General Practice Physician
- Buckeye, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 54541
- Practice address
- 20955 W Hamilton St
Buckeye, AZ 85396-1518 - Phone
- (210) 254-0383
- NPI assigned
- Apr 8, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| General Practice Physician | 208D00000X | 54541 | AZ | Primary |
Addresses
Primary practice location
20955 W Hamilton St
Buckeye, AZ 85396-1518
Mailing address
General Deliver
Luke Afb, AZ 85309-1005
Other practice location 1
400 Wabash Ave
Akron, OH 44307-2433
Phone (330) 344-6000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9897 W McDowell Rd
Suite 100
Tolleson, AZ 85353-1622
Phone (623) 474-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Urgent Care PLLC | Current | Accepting new patients | |
| Arizona Heart Specialists PLLC | Past | Accepting new patients |
Locations
980 S Watson Rd
Ste 103
Buckeye, AZ 85326
Phone (623) 474-6125
15530 W Roosevelt St
Ste D101
Goodyear, AZ 85338
Phone (623) 742-2300
8422 W Thunderbird Rd
Ste 103
Peoria, AZ 85381
Phone (623) 334-2818
702 W Camelback Rd
Ste 20
Phoenix, AZ 85013
Phone (602) 541-1611
21582 S Ellsworth Loop Rd
Ste 100
Queen Creek, AZ 85142
Phone (480) 339-5599
9897 W McDowell Rd
Ste 100
Tolleson, AZ 85353
Phone (623) 474-2300
Organizations & group practices 2
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Tolleson, AZ
- NPI 1891888517
-
- Cardiovascular Disease Physician
- Lakeside, AZ
- NPI 1750513438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1164748612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GENERAL DELIVER",
"city": "LUKE AFB",
"state": "AZ",
"postal_code": "853091005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20955 W HAMILTON ST",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853961518",
"telephone_number": "210-254-0383"
}
],
"practiceLocations": [
{
"address_1": "400 Wabash Ave",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443072433",
"country_code": "US",
"telephone_number": "330-344-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAVINOHA",
"first_name": "JULIE",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "54541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.