Individual provider Active NPI

Adam Craig Turner

  • Medical Physician Assistant
  • Tempe, AZ
National Provider Identifier
1447725189
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
7293 Issued in AZ
Practice address
1611 E Warner Rd Ste 5
Tempe, AZ 85284-4550
Phone
(480) 454-3561
NPI assigned
Oct 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7293 AZ
Medical Physician Assistant 363AM0700X 7293 AZ Primary

Addresses

Primary practice location

1611 E Warner Rd Ste 5
Tempe, AZ 85284-4550

Mailing address

925 N Nina Dr
Mesa, AZ 85201-3935

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
I20190131000529 AZ Practitioner - Physician Assistant 8224375126 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Mountain Dermatology LLCGroup PAC ID 2466817127, 2 clinicians

Practice addresses (Care Compare)

13657 W McDowell Rd
Suite 207
Goodyear, AZ 85395-2603
Phone (602) 815-5358

1611 E Warner Rd
Suite 5
Tempe, AZ 85284-4550
Phone (602) 815-5358

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7293AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC CurrentSince Dec 1, 2018 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Dec 1, 2018 Accepting new patients
La Laser Center PC, a Professional Medical Corporation PastSince Mar 1, 2020 Accepting new patients
La Laser Center PC, a Professional Medical Corporation PastSince Oct 30, 2022 Accepting new patients

Locations

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

803 S Ponderosa St
Ste C
Payson, AZ 85541
Phone (855) 817-4687

117 E Main St
Ste A100
Payson, AZ 85541
Phone (928) 474-1714

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

Interoperability endpoints

  • Direct secure messaging: adam.turner@lalasercenter.emadirect.md

Organizations & group practices 7

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": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1447725189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N NINA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 E WARNER RD STE 5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852844550",
            "telephone_number": "480-454-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "ADAM",
        "middle_name": "CRAIG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-09",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "7293",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "7293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.