Active NPI
Stephanie McMahon, PA-C
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1285984039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5244
- Practice address
- 525 N 18TH St
Suite 605
Phoenix, AZ 85006-4102 - Phone
- (602) 251-8741
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5244 | AZ | Primary |
Addresses
Primary practice location
525 N 18TH St
Suite 605
Phoenix, AZ 85006-4102
Mailing address
245 South Dobson Rd
Chandler, AZ 85224
Phone (480) 355-9814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5244 | AZ | MD | Physician Assistant |
Interoperability endpoints
- https://api.platform.athenahealth.com/6156/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1285984039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 SOUTH DOBSON RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85224",
"telephone_number": "480-355-9814",
"fax_number": "480-895-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N 18TH ST",
"address_2": "SUITE 605",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850064102",
"telephone_number": "602-251-8741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "STEPHANIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "5244",
"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 Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.