Individual provider Active NPI

Lauren Molloy, PA

  • Medical Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1336577378
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5533 Issued in AZ
Practice address
4915 E Baseline Rd
#126
Gilbert, AZ 85234-2965
Phone
(480) 745-3690
Fax
(480) 745-3697
NPI assigned
Oct 30, 2013
Last updated
Mar 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5533 AZ Primary

Addresses

Primary practice location

4915 E Baseline Rd
#126
Gilbert, AZ 85234-2965

Mailing address

4915 E Baseline Rd
#126
Gilbert, AZ 85234-2965
Phone (480) 745-3690

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
I20140306001077 AZ Practitioner - Physician Assistant 0143450429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

20745 N Scottsdale Rd
Suite 120
Scottsdale, AZ 85255-6453
Phone (480) 882-7510

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (480) 324-7000

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

LicenseStateTypeSpecialty
5533AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Jun 1, 2015 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 1, 2015 Accepting new patients
Honorhealth Ambulatory Medical Past Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

19636 N 27th Ave
Ste 408
Phoenix, AZ 85027
Phone (623) 780-0100

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10250 N 92nd St
Ste 210
Scottsdale, AZ 85258
Phone (480) 424-7228

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

20401 N 73rd St
Ste 210
Scottsdale, AZ 85255
Phone (480) 688-2075

20745 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 534-4525

20745 N Scottsdale Rd
Ste 120
Scottsdale, AZ 85255
Phone (480) 882-7510

3501 N Scottsdale Rd
Ste 320
Scottsdale, AZ 85251
Phone (480) 424-7228

Interoperability endpoints

  • Direct secure messaging: lmolloy51908@direct.honorhealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1336577378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD",
            "address_2": "#126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342965",
            "telephone_number": "480-745-3690",
            "fax_number": "480-745-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD",
            "address_2": "#126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342965",
            "telephone_number": "480-745-3690",
            "fax_number": "480-745-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.