Individual provider Active NPI

Joseph Ross Beach III, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1265997225
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7456 Issued in AZ
Practice address
20333 N 19TH Ave Ste 100
Phoenix, AZ 85027-3602
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
Feb 4, 2019
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7456 AZ Primary
Surgical Physician Assistant 363AS0400X NU

Addresses

Primary practice location

20333 N 19TH Ave Ste 100
Phoenix, AZ 85027-3602

Mailing address

5281 N 99TH Ave Ste 100
Glendale, AZ 85305-2209
Phone (623) 516-8252

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
I20191004001227 AZ Practitioner - Physician Assistant 1456682533 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Pain Center of Arizona, PCGroup PAC ID 0749183325, 13 clinicians

Practice addresses (Care Compare)

1704 W Anklam Rd
Suite 108
Tucson, AZ 85745-2656
Phone (623) 516-8252

17500 N Perimeter Dr
Suite 100
Scottsdale, AZ 85255-7800
Phone (623) 516-8252

21321 E Ocotillo Rd
Suite 126
Queen Creek, AZ 85142-5995
Phone (623) 516-8252

3645 S Rome St
Suite 216
Gilbert, AZ 85297-7338
Phone (623) 516-8252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7456AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
The Pain Center of Arizona, PC CurrentSince Apr 3, 2023 Accepting new patients
Banner Physician Specialists Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 6, 2019 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 6, 2019 Accepting new patients
Pain Center of Arizona PC CurrentSince Apr 3, 2023 Accepting new patients

Locations

825 S Watson Rd
Ste 107
Buckeye, AZ 85326
Phone (602) 492-9919

1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600

895 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 899-3737

155 E Warner Rd
Gilbert, AZ 85296
Phone (480) 649-6600

1920 N Higley Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 543-6700

3645 S Rome St
Ste 216
Gilbert, AZ 85297
Phone (480) 656-4220

5281 N 99th Ave
Ste 100
Glendale, AZ 85305
Phone (623) 241-6152

1950 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (480) 557-7474

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

9401 W Thunderbird Rd
Ste 180
Peoria, AZ 85381
Phone (623) 241-6153

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

20333 N 19th Ave
Ste 100
Phoenix, AZ 85027

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

9250 W Thomas Rd
Ste 200
Phoenix, AZ 85037

3110 Clearwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 237-9312

21321 E Ocotillo Rd
Ste 126
Queen Creek, AZ 85142
Phone (480) 245-6288

17500 N Perimeter Dr
Ste 100
Scottsdale, AZ 85255

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

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, 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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1265997225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052209",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 N 19TH AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273602",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "JOSEPH",
        "middle_name": "ROSS",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7456",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.