Active NPI
Alphamed Arrowhead LLC
Doing business as AlphaMeD Arrowhead
- Sports Medicine (Family Medicine) Physician
- Glendale, AZ
National Provider Identifier
1174264675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- 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, 2022
- Organization subpart
- Yes
- Parent organization
- MADISON MEDICAL PARTNERS, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2242857 | Alphamed Arrowhead | Certificate of waiver | Nov 11, 2027 |
| 03D2317381 | Alphamed Urgent Care Arrowhead | Certificate of waiver | Jan 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.