Individual provider Active NPI

Julie Beth Stavinoha, MD

  • General Practice Physician
  • Buckeye, AZ
National Provider Identifier
1164748612
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
54541 Issued in AZ
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180913002963 AZ Practitioner - General Practice 3971853821 Reassigns benefits to 1 organization

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
Alliance Urgent Care PLLCGroup PAC ID 8022111749, 8 clinicians

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

OrganizationSpecialtyStatusNew patients
Alliance Urgent Care PLLC CurrentSince Jul 14, 2018 Accepting new patients
Arizona Heart Specialists PLLC PastSince Jul 14, 2018 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.

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

Verify at the official NPI Registry.