Organization Active NPI

Matthew L Tremayne

  • Surgical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1467691147
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2505 Issued in AZ
Legal business name
MATTHEW L TREMAYNE
Practice address
8346 E Feathersong LN
Scottsdale, AZ 85255-3924
Phone
(602) 908-2513
NPI assigned
Feb 19, 2009
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Mr. Matthew L Tremayne, PAC
Title
Owner
Phone
(602) 908-2513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2505 AZ Primary

Addresses

Primary practice location

8346 E Feathersong LN
Scottsdale, AZ 85255-3924

Mailing address

8346 E Feathersong LN
Scottsdale, AZ 85255-3924
Phone (602) 908-2513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090707000086 AZ Part B Supplier - Clinic/Group Practice 1355492232 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ; Sun City, AZ; Scottsdale, AZ; Mesa, AZ; Goodyear, AZ; Glendale, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1467691147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8346 E FEATHERSONG LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553924",
            "telephone_number": "602-908-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8346 E FEATHERSONG LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553924",
            "telephone_number": "602-908-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW L TREMAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "TREMAYNE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-908-2513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.