Individual provider Active NPI

Heather N Starks, PAC

  • Physician Assistant
  • Tempe, AZ
National Provider Identifier
1720168883
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3210 Issued in AZ
Practice address
960 W University Dr
Suite 111
Tempe, AZ 85281
Phone
(480) 557-0051
Fax
(480) 557-0189
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3210 AZ Primary

Addresses

Primary practice location

960 W University Dr
Suite 111
Tempe, AZ 85281

Mailing address

245 S Dobson Rd
Chandler, AZ 85224-6577
Phone (480) 557-0051

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070216000097 AZ Practitioner - Physician Assistant 8820190119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suvida Healthcare Clinical Services LLCGroup PAC ID 3971967746, 8 clinicians

Practice addresses (Care Compare)

1227 W Saint Marys Rd
Tucson, AZ 85745-3115
Phone (520) 613-2967

4530 N 32ND St
Suite 104
Phoenix, AZ 85018-3357
Phone (520) 613-2967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gene Winfield DO PC Past Accepting new patients
Foothills Primary Care LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heather.leazer@509680731226116.direct.elationemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1720168883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246577",
            "telephone_number": "480-557-0051",
            "fax_number": "480-557-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W UNIVERSITY DR",
            "address_2": "SUITE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "480-557-0051",
            "fax_number": "480-557-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKS",
        "first_name": "HEATHER",
        "middle_name": "N",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.