Active NPI
Sarah E Walsh, PA-C
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1700150810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6023
- Practice address
- 3522 N 3Rd Ave
Phoenix, AZ 85013-3903 - Phone
- (602) 776-9000
- NPI assigned
- Mar 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA055443 | PA | |
| Physician Assistant | 363A00000X | 50.003482 | OH | |
| Physician Assistant | 363A00000X | 6023 | AZ | Primary |
Addresses
Primary practice location
3522 N 3Rd Ave
Phoenix, AZ 85013-3903
Mailing address
3522 N 3Rd Ave
Phoenix, AZ 85013-3903
Phone (602) 776-9000
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6023 | AZ | MD | Occupational Therapist |
| 50.003482 | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1700150810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3522 N 3RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133903",
"telephone_number": "602-776-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3522 N 3RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133903",
"telephone_number": "602-776-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "SARAH",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-07",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA055443",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.003482",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.