Physician Assistant Services

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

PHYSICIAN ASSISTANT SERVICES

Practice address

7804 S Jentilly LN
Tempe, AZ 85284-1562

Phone

(480) 967-6500

Fax

(480) 967-6540

NPI assigned

Aug 10, 2005

Last updated

Oct 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Paula A Stufflebeam, P.A.

Title

President

Phone

(480) 967-6500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1700888716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27514",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852857514",
            "telephone_number": "480-967-6500",
            "fax_number": "480-967-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 S JENTILLY LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841562",
            "telephone_number": "480-967-6500",
            "fax_number": "480-967-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSISTANT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "STUFFLEBEAM",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-967-6500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Pointe Psychiatry LLC
• Phoenix Recovery Homes
• PHX Medical Supply LLC
• Phxrx, LLC
• Physical Therapy of Tempe
• Physician Group of Arizona Inc (Steward Orthopedic and Sports Medicine)
• Physician's Choice Massage, LLC
• Physicians Surgery Center of Tempe, LLC (Arizona Specialty Surgery Center)
• Physiotherapy Associates
• Physiotherapy Associates

• Surgical Physician Assistant in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.