Active NPI
George Speer, PA
- Medical Physician Assistant
- Phoenix, AZ
National Provider Identifier
1285085613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 City
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6416 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth-Fastmed Ambulatory Holdings LLC | Current | Accepting new patients | |
| Honorhealth-Fastmed Ambulatory Holdings LLC | Current | Accepting new patients | |
| Providence General Medicine, PC | Past | 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
- 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.
-
- Urgent Care Clinic/Center
- Surprise, AZ
- NPI 1467069047
-
- Family Medicine Physician
- Tempe, AZ
- NPI 1467534487
-
- Urgent Care Clinic/Center
- Surprise, AZ
- NPI 1265049894
-
- Urgent Care Clinic/Center
- Tucson, AZ
- NPI 1801403480
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1164693974
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.
- 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.