Individual provider Active NPI

Eric Honaker, PA

  • Medical Physician Assistant
  • Glendale, AZ
National Provider Identifier
1245870427
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8005 Issued in AZ
Practice address
18555 N 79TH Ave Ste D101
Glendale, AZ 85308-6040
Phone
(480) 563-6400
Fax
(480) 563-8009
NPI assigned
Jan 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 8005 AZ Primary

Addresses

Primary practice location

18555 N 79TH Ave Ste D101
Glendale, AZ 85308-6040

Mailing address

PO Box 6408
Scottsdale, AZ 85261-6408
Phone (480) 563-6400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201214001367 AZ Practitioner - Physician Assistant 5294147344 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians

Practice addresses (Care Compare)

1 N Central Ave
Suite 105
Phoenix, AZ 85004-4416
Phone (602) 255-7650

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

15223 N 87TH St
Suite 110
Scottsdale, AZ 85260-2640
Phone (480) 682-4100

3141 E Indian School Rd
Phoenix, AZ 85016-6807
Phone (602) 255-7700

4200 E Camelback Rd
Suite 106
Phoenix, AZ 85018-2718
Phone (602) 255-7590

5018 N 7TH St
Phoenix, AZ 85014-3101
Phone (602) 255-7680

7952 N 43Rd Ave
Glendale, AZ 85301-1662
Phone (623) 465-6330

9111 N 7TH St
Phoenix, AZ 85020-2515
Phone (602) 255-7670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8005AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Specialists, PLLC CurrentSince Jan 4, 2021 Accepting new patients
Banner Urgent Care Services, LLC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Jan 1, 2022 Accepting new patients
Banner Urgent Care Services, LLC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Arizona Pain Specialists, PLLC Single Specialty CurrentSince Jan 4, 2021 Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

18555 N 79th Ave
Ste D101
Glendale, AZ 85308
Phone (480) 245-6169

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

101 E State Highway 260
Ste G
Payson, AZ 85541
Phone (888) 264-2127

4200 E Camelback Rd
Ste 106
Phoenix, AZ 85018
Phone (602) 255-7590

5018 N 7th St
Phoenix, AZ 85014
Phone (602) 255-7680

4760 E Thunderbird Rd
Ste 1
Phoenix, AZ 85032
Phone (480) 827-5590

1940 W Glendale Ave
Phoenix, AZ 85021
Phone (602) 255-7690

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

6323 S Rural Rd
Ste 107
Tempe, AZ 85283
Phone (480) 775-2657

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

Organizations & group practices 7

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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1245870427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6408",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852616408",
            "telephone_number": "480-563-6400",
            "fax_number": "480-563-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE STE D101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086040",
            "telephone_number": "480-563-6400",
            "fax_number": "480-563-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONAKER",
        "first_name": "ERIC",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "8005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.