Stephanie Azevedo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5439 Issued in AZ

Practice address

6320B W Union Hills Dr
Suite 2300
Glendale, AZ 85308-7201

Phone

(623) 561-9113

NPI assigned

Oct 28, 2013

Last updated

Oct 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sazevedo31929@direct.honorhealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Honorhealth Medical Group, LLC

  • Primary Care Clinic/Center
  • Peoria, AZ
  • NPI 1043851793
  Medicare reassignment Care Compare group
• Honorhealth Medical Group, LLC

  dba John C. Lincoln LLC dba Arcadia Family Clinic

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1033104716
  NPD
• Honorhealth Medical Group, LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1285338343
  NPD
• Honorhealth Medical Group, LLC

  dba Saguaro Family Practice

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1851336432
  NPD
• Squaw Peak Family Physicians PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1578590303
  NPD
• Honorhealth Ambulatory

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Scottsdale, AZ
  • NPI 1053881938
  NPD (past)
• Honorhealth Medical Group, LLC

  dba John C. Lincoln Family Medicine and Wellness Center

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1063795367
  NPD (past)
• Honorhealth Medical Group, LLC

  dba Dearing Family Medicine

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1679876601
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Honorhealth

  dba HonorHealth Deer Valley Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1528169125
  Care Compare affiliation
• Honorhealth

  dba HonorHealth John C. Lincoln Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1740618800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320B W UNION HILLS DR",
            "address_2": "SUITE 2300",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087201",
            "telephone_number": "623-561-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320B W UNION HILLS DR",
            "address_2": "SUITE 2300",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087201",
            "telephone_number": "623-561-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEVEDO",
        "first_name": "STEPHANIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Az West Medical Center
• Az Wide Trans LLC
• Az Young Child Counseling LLC
• Azcdc,LLC
• Ryan Azevedo, PA
• B N Chiro
• B. Therapy LLC
• Cesar Baang
• Retzar Baang
• Robert John Babajko

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.