Katherine Azar Haworth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3152 Issued in AZ

Practice address

5056 N Central Ave
Phoenix, AZ 85012-1521

Phone

(602) 222-9111

Fax

(602) 277-5111

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Phoenix Skin II PC

  dba Phoenix Skin Medical Surgical Group

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1609078997
  Medicare reassignment
• Squaw Peak Anesthesia Inc

  • Registered Nurse
  • Tempe, AZ
  • NPI 1134352925
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265573810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W LAS PALMARITAS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215535",
            "telephone_number": "602-222-9111",
            "fax_number": "602-277-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5056 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121521",
            "telephone_number": "602-222-9111",
            "fax_number": "602-277-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWORTH",
        "first_name": "KATHERINE",
        "middle_name": "AZAR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian C Hawksworth, MD
• Beverly B. Hawley, R.N.
• Christy Marie Hawley, ATC, LAT
• Cassandra Haworth, DO
• Danielle Haworth, DTR
• Susan G Hawrylkiw, FNP
• Kollin S Haws, HIS
• Shannon Taylor Haws, FNP-C
• Heather Hawthorne, M.D.
• Nicolette Hawthorne, FNP-C

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.