Individual provider Active NPI

Susan D Stoddard, PA-C

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1457391633
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2543 Issued in AZ
Practice address
641 W Warner Rd
Gilbert, AZ 85233-7266
Phone
(480) 722-9828
Fax
(480) 722-9831
NPI assigned
Jun 7, 2006
Last updated
Oct 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2543 AZ Primary

Addresses

Primary practice location

641 W Warner Rd
Gilbert, AZ 85233-7266

Mailing address

13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800

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
I20060222000573 AZ Practitioner - Physician Assistant 6709892128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians
Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

12775 W Bell Rd
Suite 100
Surprise, AZ 85378-9770
Phone (623) 215-0082

13901 W Meeker Blvd
Sun City West, AZ 85375-4475
Phone (623) 465-6435

1507 N Litchfield Rd
Suite 200
Goodyear, AZ 85395-1201
Phone (623) 215-0040

1515 E Bethany Home Rd
Suite 120B
Phoenix, AZ 85014-2496
Phone (602) 812-3080

15223 N 87TH St
Suite 110
Scottsdale, AZ 85260-2640
Phone (480) 682-4100

15521 W Bell Rd
Surprise, AZ 85374-3437
Phone (623) 465-6390

17015 N 7TH St
Suite 100
Phoenix, AZ 85022-2436
Phone (602) 368-1403

18404 N Tatum Blvd
Suite 101C
Phoenix, AZ 85032-1511
Phone (602) 992-1900

1955 W Guadalupe Rd
Suite 101 102
Mesa, AZ 85202-7487
Phone (480) 827-5620

2225 W Southern Ave
Suite a
Mesa, AZ 85202-4716
Phone (623) 888-3502

24874 N 67TH Ave
Suite 101
Peoria, AZ 85383-4245
Phone (602) 598-4700

3141 E Indian School Rd
Phoenix, AZ 85016-6807
Phone (602) 255-7700

3247 E Bell Rd
PB1
Phoenix, AZ 85032-2707
Phone (602) 255-7655

35945 N Gary Rd
San Tan Valley, AZ 85143-5748
Phone (480) 827-5750

3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444

3730 W Happy Valley Rd
Suite 100
Glendale, AZ 85310-3283
Phone (623) 277-4140

40773 N Ironwood Dr
San Tan Valley, AZ 85140-7002
Phone (480) 827-5760

4206 E Chandler Blvd
Suite 100
Phoenix, AZ 85048-8873
Phone (480) 827-5590

4232 W Bell Rd
Glendale, AZ 85308-4027
Phone (623) 465-6360

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-7373

7611 W Cactus Rd
Peoria, AZ 85381-5203
Phone (623) 465-6315

7730 E McDowell Rd
Suite 101
Scottsdale, AZ 85257-3772
Phone (480) 699-3314

7952 N 43Rd Ave
Glendale, AZ 85301-1662
Phone (623) 465-6330

9111 N 7TH St
Phoenix, AZ 85020-2515
Phone (602) 255-7670

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
77.66
Promoting interoperability
100
Improvement activities
40
Cost
66.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Arizona LLC CurrentSince Aug 1, 2021 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Aug 26, 2024 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Oct 1, 2016 Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Banner Urgent Care Services, LLC Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

3457 W White Mountain Blvd
Lakeside, AZ 85929
Phone (888) 264-2127

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

101 E State Highway 260
Ste G
Payson, AZ 85541
Phone (888) 264-2127

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

7730 E McDowell Rd
Ste 101
Scottsdale, AZ 85257
Phone (480) 699-3314

680 E Deuce of Clubs
Ste B
Show Low, AZ 85901
Phone (928) 537-2777

1101 N Wilmot Rd
Ste 101
Tucson, AZ 85712
Phone (520) 396-4450

3611 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-4650

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

Interoperability endpoints

  • Direct secure messaging: sstoddard583856@direct.honorhealth.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1457391633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13640 N PLAZA DEL RIO BLVD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814846",
            "telephone_number": "623-876-3800",
            "fax_number": "623-583-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W WARNER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337266",
            "telephone_number": "480-722-9828",
            "fax_number": "480-722-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "SUSAN",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.