Individual provider Active NPI

George Speer, PA

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1285085613
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
9220 N Central Ave
Phoenix, AZ 85020-2416
Phone
(509) 834-0559
NPI assigned
Jun 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

9220 N Central Ave
Phoenix, AZ 85020-2416

Mailing address

9220 N Central Ave
Phoenix, AZ 85020-2416
Phone (602) 254-7077

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
I20170920004026 AZ Practitioner - Physician Assistant 5092089615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle the CityGroup PAC ID 3971824442, shared by 7 NPIs, 63 clinicians

Practice addresses (Care Compare)

333 W Indian School Rd
Phoenix, AZ 85013-3205
Phone (602) 776-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6416AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Jan 7, 2020 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Jan 7, 2020 Accepting new patients
Providence General Medicine, PC PastSince Sep 24, 2022 Accepting new patients

Locations

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

8260 W Indian School Rd
Ste 1
Phoenix, AZ 85033
Phone (623) 846-7122

Interoperability endpoints

  • Direct secure messaging: george.speer.1@11818.direct.athenahealth.com

Organizations & group practices 5

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1285085613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202416",
            "telephone_number": "602-254-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202416",
            "telephone_number": "509-834-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEER",
        "first_name": "GEORGE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.