Thomas Joel Sirrine, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4503 Issued in AZ

Practice address

11209 N Tatum Blvd Ste 185
Phoenix, AZ 85028-6016

Phone

(602) 669-2585

Fax

(602) 669-2586

NPI assigned

Nov 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

RSG Healthcare, PLLCGroup PAC ID 6204280845, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomas.sirrine.1@29480.direct.athenahealth.com

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.

• RSG Healthcare, PLLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1336825868
  Medicare reassignment Care Compare group
• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1659640902
  Medicare reassignment NPD
• Pueblo Family Physicians LTD

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1790798072
  Medicare reassignment
• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1790306066
  NPD

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1689900276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 185",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286016",
            "telephone_number": "602-669-2585",
            "fax_number": "602-669-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 185",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286016",
            "telephone_number": "602-669-2585",
            "fax_number": "602-669-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRRINE",
        "first_name": "THOMAS",
        "middle_name": "JOEL",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantipriya Siripurapu, MD
• Lisa A. Sirko, COTA
• Lorie Sirola, MAPC, LPC, LISAC
• Stephen Charles Sirota, MD
• Sirounian Orthopedics PC
• Patrick Sis
• Freddy Sisango
• Sisay3020Llc
• Rhysa Sisco
• William Braxton Sisco, PHARMACIST

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.