Active NPI
Deborah Joyce Lader, P.A.-C.
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1720086994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10387
- Practice address
- 3536 W Glendale Ave
Phoenix, AZ 85051-8395 - Phone
- (480) 618-0177
- Fax
- (620) 371-2243
- NPI assigned
- Jul 12, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA002185L | PA | |
| Physician Assistant | 363A00000X | 10387 | AZ | Primary |
Addresses
Primary practice location
3536 W Glendale Ave
Phoenix, AZ 85051-8395
Mailing address
PO Box 746093
Atlanta, GA 30374-6093
Phone (602) 782-1880
Other practice location 1
1940 W Indian School Rd Ste 1
Phoenix, AZ 85015-5112
Phone (602) 782-1880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50047054 | Other | KEYSTONE HEALTH CENTRAL | |
| 50047054 | Other | CAPITAL BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1940 W Indian School Rd
Suite 1
Phoenix, AZ 85015-5112
Phone (602) 782-1880
2850 E Main St
Suite 106
Mesa, AZ 85213-9304
Phone (480) 618-0019
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.05 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10387 | AZ | MD | Physician Assistant |
| MA002185L | PA | MD | Physician Assistant |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Apache Junction, AZ
- NPI 1063083590
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1720086994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746093",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746093",
"telephone_number": "602-782-1880",
"fax_number": "602-671-6915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3536 W GLENDALE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850518395",
"telephone_number": "480-618-0177",
"fax_number": "620-371-2243"
}
],
"practiceLocations": [
{
"address_1": "1940 W Indian School Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850155112",
"country_code": "US",
"telephone_number": "602-782-1880",
"fax_number": "602-671-6915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LADER",
"first_name": "DEBORAH",
"middle_name": "JOYCE",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA002185L",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "10387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH CENTRAL",
"identifier": "50047054",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50047054",
"state": null
}
],
"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 Jun 19, 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.