Alphamed Chandler LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

ALPHAMED CHANDLER LLC

Doing business as

AlphaMeD Chandler

Practice address

4949 S Arizona Ave Ste 4
Chandler, AZ 85248-4619

Phone

(480) 847-2225

NPI assigned

Apr 8, 2022

Organization subpart

Yes

Parent organization

MADISON MEDICAL PARTNERS, LLCAs reported in NPPES

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

Authorized official

Name

Matt Overlin, PA-C

Title

Owner/Provider

Phone

(602) 689-9588

Specialties & licenses 1

Addresses

Other names 1

• AlphaMeD Chandler Doing business as

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

CLIA laboratory certificates

Part of

Madison Medical Partners LLC

Locations

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.

• Madison Medical Partners, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1730790080
  NPPES parent name

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fizzah Ahmed, PA-C

  • Medical Physician Assistant
  • Tempe, AZ
  • NPI 1386985786
  NPD (past)
• Kaitlyn Kay Cummings, FNP

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1356221089
  NPD (past)
• Anthony Rashad Jackson, PA

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1407595689
  NPD (past)
• Rebecca Joann Martin, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1477989531
  NPD (past)
• Matthew D Overlin, PA

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1518916113
  NPD (past)
• Ezekias John Zink, PA-C

  • Surgical Physician Assistant
  • Glendale, AZ
  • NPI 1902092992
  NPD (past)
• Radha Patel

  • Physician Assistant
  • Carrollton, GA
  • NPI 1326672981
  NPD (past)

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1225770456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 S ARIZONA AVE STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484619",
            "telephone_number": "480-847-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 S ARIZONA AVE STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484619",
            "telephone_number": "480-847-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHAMED CHANDLER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADISON MEDICAL PARTNERS, LLC",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "OVERLIN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "602-689-9588",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AlphaMeD Chandler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sports Medicine (Family Medicine) Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Sports Medicine (Family Medicine) Physician in Arizona

• 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.