Organization Active NPI

Alphamed Arrowhead LLC

Doing business as AlphaMeD Arrowhead

  • Sports Medicine (Family Medicine) Physician
  • Glendale, AZ
National Provider Identifier
1174264675
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
ALPHAMED ARROWHEAD LLC
Doing business as
AlphaMeD Arrowhead
Practice address
20249 N 67TH Ave
Glendale, AZ 85308-6843
Phone
(623) 250-4550
NPI assigned
Apr 6, 2022
Last updated
Apr 8, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MADISON MEDICAL PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Kevin Cantwell, PA-C
Title
Owner/Provider
Phone
(602) 908-2025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X NU Primary

Addresses

Primary practice location

20249 N 67TH Ave
Glendale, AZ 85308-6843

Mailing address

20249 N 67TH Ave
Glendale, AZ 85308-6843

Other names 1

  • AlphaMeD Arrowhead Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2242857Alphamed Arrowhead20249 N 67TH Ave Ste a, Glendale, AZ 85308Certificate of waiverNov 11, 2027
03D2317381Alphamed Urgent Care Arrowhead20249 N 67TH Ave Ste A1A, Glendale, AZ 85308Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory
Part of
Madison Medical Partners LLC

Locations

20249 N 67th Ave
Glendale, AZ 85308
Phone (623) 250-4550

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1174264675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20249 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20249 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086843",
            "telephone_number": "623-250-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHAMED ARROWHEAD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADISON MEDICAL PARTNERS, LLC",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "CANTWELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "602-908-2025",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AlphaMeD Arrowhead",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AlphaMeD Arrowhead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.