Active NPI
Stephen Perry Nathan, MD
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 8883
- Practice address
- 9225 N 3Rd St
Suite 300
Phoenix, AZ 85020-2439 - Phone
- (602) 445-0751
- Fax
- (602) 424-8128
- NPI assigned
- Oct 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 8883 | AZ | |
| Internal Medicine Physician | 207R00000X | 8883 | AZ | Primary |
Addresses
Primary practice location
9225 N 3Rd St
Suite 300
Phoenix, AZ 85020-2439
Mailing address
9225 N 3Rd St
Suite 300
Phoenix, AZ 85020-2439
Phone (602) 445-0751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226763 | 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8883 | AZ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Hospitalists, PLC | Internal Medicine | Current | Accepting new patients |
Locations
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
9225 N 3rd St
Ste 304
Phoenix, AZ 85020
Phone (602) 997-9614
9225 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 870-1821
9100 N 2nd St
Ste 221
Phoenix, AZ 85020
Phone (602) 943-1231
16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671
Organizations & group practices 1
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": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1356439723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9225 N 3RD ST",
"address_2": "SUITE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202439",
"telephone_number": "602-445-0751",
"fax_number": "602-424-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9225 N 3RD ST",
"address_2": "SUITE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202439",
"telephone_number": "602-445-0751",
"fax_number": "602-424-8128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "STEPHEN",
"middle_name": "PERRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AZ",
"license": "8883",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "8883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226763",
"state": "AZ"
}
],
"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 Apr 17, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.