Active NPI
Timothy Brian Sharp, PAC
- Surgical Physician Assistant
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 2179
- Practice address
- 1875 W Frye Rd Ste 300
Chandler, AZ 85224-6184 - Phone
- (480) 917-5600
- Fax
- (602) 294-4497
- NPI assigned
- May 25, 2006
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 2179 | AZ | Primary |
Addresses
Primary practice location
1875 W Frye Rd Ste 300
Chandler, AZ 85224-6184
Mailing address
2910 N 3Rd Ave
Phoenix, AZ 85013-4434
Phone (602) 406-3008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44123802 | Medicaid | AZ |
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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000
250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (210) 598-4268
6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000
750 N 40TH St
Phoenix, AZ 85008-6486
Phone (602) 797-7700
9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2179 | AZ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Spine and Joint Hospital LLC | Current | Accepting new patients | |
| Southwest Center for Neurological Surgeons PC | Past | Accepting new patients | |
| Mezona Orthopaedic PA | Past | Accepting new patients |
Interoperability endpoints
- tsharp@direct.uspi.com
- timothysharp@asjh.medalliesdirect.net
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
-
- Orthopaedic Surgery Physician
- Mesa, AZ
- NPI 1336215078
-
- Specialist
- Mesa, AZ
- NPI 1891901088
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
-
dba Chandler Regional Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
dba Mercy Gilbert Medical Center
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
-
dba Arizona Specialty Hospital
- Special Hospital
- Phoenix, AZ
- NPI 1124163530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1306892997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 N 3RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134434",
"telephone_number": "602-406-3008",
"fax_number": "602-406-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 W FRYE RD STE 300",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246184",
"telephone_number": "480-917-5600",
"fax_number": "602-294-4497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "TIMOTHY",
"middle_name": "BRIAN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "2179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44123802",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.