Individual provider Active NPI

Taylor Rhea Dycus, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1174294094
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9592 Issued in AZ
Practice address
5355 E High St Unit 113
Phoenix, AZ 85054-5481
Phone
(602) 648-5444
Fax
(602) 772-3801
NPI assigned
Sep 21, 2021
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 9592 AZ
Physician Assistant 363A00000X 9592 AZ Primary

Addresses

Primary practice location

5355 E High St Unit 113
Phoenix, AZ 85054-5481

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220405001752 AR Practitioner - Physician Assistant 2365838018 Reassigns benefits to 2 organizations
I20230213000781 AZ Practitioner - Physician Assistant 2365838018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5355 E High St
Unit 113
Phoenix, AZ 85054-5481
Phone (602) 648-5444

5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115

8405 N Pima Ctr Pkwy
Suite 101
Scottsdale, AZ 85258-4638
Phone (602) 493-9361

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9592AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of North America, PLLC CurrentSince Aug 18, 2023 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Aug 18, 2023 Accepting new patients
Little Rock Neurosurgery Clinic PastSince Feb 1, 2022 Accepting new patients
Orthopedic Specialists of North America, PLLC Past Accepting new patients

Locations

10450 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 846-1746

2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795

33300 N 32nd Ave
Ste 320
Phoenix, AZ 85085

5355 E High St
Unit 113
Phoenix, AZ 85054

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1174294094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 E HIGH ST UNIT 113",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545481",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCUS",
        "first_name": "TAYLOR",
        "middle_name": "RHEA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "9592",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.