Individual provider Active NPI

Patricia J Stephenson, MD

  • Family Medicine Physician
  • Sun City, AZ
National Provider Identifier
1740366988
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46190 Issued in AZ
Practice address
13041 N del Webb Blvd
Sun City, AZ 85351-3034
Phone
(623) 977-7201
Fax
(602) 906-2789
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4910 SD
Family Medicine Physician 207Q00000X 46190 AZ Primary

Addresses

Primary practice location

13041 N del Webb Blvd
Sun City, AZ 85351-3034

Mailing address

2550 N. Norterra Dr
Phoenix, AZ 85085-8200
Phone (623) 277-1130

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120904000206 AZ Practitioner - Family Practice 4284668047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4910SDMDPharmacist
46190AZMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. Current Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Cigna Health Care of Arizona Inc. Past Accepting new patients
Foothills Family Clinic Family Medicine PastSince Jan 1, 1990 Accepting new patients
Regional Health Physicians Inc Past Accepting new patients

Locations

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

4001 E Baseline Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 532-4060

3530 S Val Vista Dr
Ste 101
Gilbert, AZ 85297
Phone (480) 722-2340

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

14445 W McDowell Rd
Ste A104
Goodyear, AZ 85395
Phone (480) 550-9393

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

5735 E McKellips Rd
Ste 101
Mesa, AZ 85215
Phone (480) 718-6444

21731 N 77th Ave
Ste 1300
Peoria, AZ 85382
Phone (623) 561-3300

7600 N 15th St
Ste 185
Phoenix, AZ 85020
Phone (602) 678-3131

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

710 W Bell Rd
Phoenix, AZ 85023
Phone (602) 588-3710

7236 S Central Ave
Phoenix, AZ 85042
Phone (602) 276-5565

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

7000 N 16th St
Ste 130
Phoenix, AZ 85020
Phone (602) 567-1901

16635 N 43rd Ave
Phoenix, AZ 85053
Phone (602) 843-7900

36305 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 987-6900

10900 N Scottsdale Rd
Ste 606
Scottsdale, AZ 85254
Phone (480) 368-2500

8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13041 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 977-7201

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

433 W Broadway Rd
Tempe, AZ 85282
Phone (480) 968-7835

Organizations & group practices 9

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1740366988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 N. NORTERRA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858200",
            "telephone_number": "623-277-1130",
            "fax_number": "602-906-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13041 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513034",
            "telephone_number": "623-977-7201",
            "fax_number": "602-906-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "4910",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "46190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.