Individual provider Active NPI

Patricia A Armstrong, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1326015165
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2416 Issued in AZ
Practice address
1300 N 12TH St
301
Phoenix, AZ 85006-2848
Phone
(602) 839-6968
Fax
(602) 839-4144
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 2416 AZ Primary

Addresses

Primary practice location

1300 N 12TH St
301
Phoenix, AZ 85006-2848

Mailing address

PO Box 29862
Phoenix, AZ 85038-9862
Phone (602) 433-1822

Other identifiers 6

IdentifierTypeStateIssuer
72107OtherPIN
100612OtherPIN
72105OtherPIN
733619MedicaidAZ
72106OtherPIN
72104OtherPIN

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
I20050117000408 AZ Practitioner - Physician Assistant 5294784260 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2416AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Apr 1, 2012 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Apr 1, 2012 Accepting new patients
Emergency Professional Services PC Physician Assistant CurrentSince Jul 1, 2007 Accepting new patients
Emergency Professional Services PC Physician Assistant CurrentSince Jul 1, 2007 Accepting new patients
Turf Paradise Medical PLLC Past Accepting new patients
Med 97 LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Center for Physical Medicine & Rehabilitation P C Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients

Locations

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

9305 W Thomas Rd
Ste 405
Phoenix, AZ 85037
Phone (623) 327-7900

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

1300 N 12th St
Ste 301
Phoenix, AZ 85006
Phone (602) 239-6968

Organizations & group practices 9

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1326015165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29862",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389862",
            "telephone_number": "602-433-1822",
            "fax_number": "602-246-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-839-6968",
            "fax_number": "602-839-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "72107",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "100612",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "72105",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "733619",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "72106",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "72104",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.