Stephanie Tavener, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5115 Issued in AZ

Practice address

215 S Dobson Rd Ste 4
Chandler, AZ 85224-6227

Phone

(623) 878-2100

Fax

(623) 776-9419

NPI assigned

Dec 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Satinder S Purewal MD LLCGroup PAC ID 6507814191, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.tavener@57560418353156.direct.elationemr.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.

• Satinder S. Purewal, M.D. LLC

  • Psychiatry Physician
  • Glendale, AZ
  • NPI 1528128311
  Medicare reassignment Care Compare group
• Alliance Urgent Care PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Tolleson, AZ
  • NPI 1891888517
  Medicare reassignment
• Good Health Medical, PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1144764432
  Medicare reassignment
• Good Health Medical, PLLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1023828431
  NPD
• Good Health Medical, PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1821856113
  NPD
• Pentz Health Services LLC

  • Sports Physician Chiropractor
  • Mesa, AZ
  • NPI 1184762890

  Physician Assistant

  NPD
• Arizona Heart Specialists PLLC

  • Cardiovascular Disease Physician
  • Lakeside, AZ
  • NPI 1750513438
  NPD (past)
• Atlas Medical Systems, PLLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1396420758
  NPD (past)
• Satinder S. Purewal, M.D. LLC

  • Psychiatry Physician
  • Chandler, AZ
  • NPI 1316702871
  NPD (past)
• Satinder S. Purewal, M.D. LLC

  • Psychiatry Physician
  • Surprise, AZ
  • NPI 1609631159
  NPD (past)

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1710160106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE I164",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063762",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S DOBSON RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246227",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6677 W Thunderbird Rd Ste I164",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853063762",
            "country_code": "US",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVENER",
        "first_name": "STEPHANIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-09",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5115",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "5115",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA LICENSE",
            "identifier": "5115",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Target Corporation
• Suzanne R Tariot Sheard, D.O.
• Christina R Tarpley, RBT
• Steven Thomas Tarrence, RNFA
• Sheldon Brian Tauber, D.C.
• Michael Tawadrous, M.D.
• Zakaria Tawadrous, MD
• Jad William Tawil, DMD
• Marie Therese Tawil, RDN
• Carla Renee Taylor-Wilson, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.