Individual provider Active NPI

Geoffrey Scott Streeter, PA-C

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1295046324
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4594 Issued in AZ
Practice address
1675 E Melrose St Ste 101-103
Gilbert, AZ 85297-1001
Phone
(480) 964-2908
Fax
(480) 833-2136
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 4594 AZ
Physician Assistant 363A00000X 4594 AZ Primary

Addresses

Primary practice location

1675 E Melrose St Ste 101-103
Gilbert, AZ 85297-1001

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

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
I20100921001543 AZ Practitioner - Physician Assistant 5294851713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Specialists of North America PLLCGroup PAC ID 7719014505, 310 clinicians

Practice addresses (Care Compare)

2940 E Banner Gateway Dr
Gilbert, AZ 85234-2168

40601 N Gantzel Rd
Suite 103
San Tan Valley, AZ 85140-7036
Phone (480) 964-2908

5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115

Hospital & facility affiliations

  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Arizona Spine and Joint Hospital Hospital, Mesa, AZ, CCN 030107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4594AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Spine and Joint Hospital LLC Current Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Jul 22, 2013 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Jul 22, 2013 Accepting new patients
District Medical Group, Inc Past Accepting new patients
Center for Orthopedic Research and Education, LLC Physician Assistant Past Accepting new patients
Orthopedic Specialists of North America, PLLC Past Accepting new patients

Locations

525 S Chandler Village Dr
Chandler, AZ 85226
Phone (480) 750-0303

1760 E Pecos Rd
Ste 207
Gilbert, AZ 85295
Phone (480) 813-0944

2940 E Banner Gateway Dr
Ste 200250
Gilbert, AZ 85234

1675 E Melrose St
Ste 101103
Gilbert, AZ 85297
Phone (602) 631-3161

2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

Interoperability endpoints

  • Direct secure messaging: geoffreystreeter@asjh.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1295046324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 E MELROSE ST STE 101-103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971001",
            "telephone_number": "480-964-2908",
            "fax_number": "480-833-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETER",
        "first_name": "GEOFFREY",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "4594",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.