Active NPI
Stephen Fils Bazilme, PA, SA-C
- Medical Physician Assistant
- Goodyear, AZ
National Provider Identifier
1467110890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 8614
- Practice address
- 700 N Estrella Pkwy Ste 120
Goodyear, AZ 85338-9271 - Phone
- (561) 331-7471
- NPI assigned
- Dec 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 22-423 | WI | |
| Clinical Medical Laboratory | 291U00000X | 109977 | IL | |
| Medical Physician Assistant | 363AM0700X | TPPA485 | FL | |
| Medical Physician Assistant | 363AM0700X | 683-P.A. | PR | |
| Medical Physician Assistant | 363AM0700X | 8614 | AZ | Primary |
Addresses
Primary practice location
700 N Estrella Pkwy Ste 120
Goodyear, AZ 85338-9271
Mailing address
12758 Wood Hollow Dr Apt 1721
Woodbridge, VA 22192-6545
Phone (561) 331-7471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8614 | AZ | MD | Physical Therapist |
| 22-423 | WI | MD | Surgical Assistant |
| 109977 | IL | MD | Clinical Medical Laboratory |
| TPPA485 | FL | MD | Medical Physician Assistant |
| 683-P.A. | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1467110890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12758 WOOD HOLLOW DR APT 1721",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221926545",
"telephone_number": "561-331-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N ESTRELLA PKWY STE 120",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853389271",
"telephone_number": "561-331-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZILME",
"first_name": "STEPHEN FILS",
"name_prefix": "Dr.",
"credential": "PA, SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-02",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "WI",
"license": "22-423",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "IL",
"license": "109977",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "TPPA485",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "683-P.A.",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "8614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
- Stacy Bauman, RN
- Adam Franklin Baumgardner, D.C.
- Barbara Baumgardner, PHD, PMHNP-BC
- Jennifer Baumgardner, PHD
- Batrony Bazilme, MD, PA, SA-C
- BBR Sole ,Inc. (Foot Solutions)
- BBR Sole, Inc. (Foot Solutions)
- Bbritt Concierge Mobile Medicine
- BD Health & Wellness Solutions LLC (FYZICAL Therapy & Balance Centers - Goodyear)
- Charles Lyman Beard III, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.