Individual provider Active NPI

Sarah Ann Huson, PA-C

  • Physician Assistant
  • Casa Grande, AZ
National Provider Identifier
1760073605
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
580 N Camino Mercado Ste 8
Casa Grande, AZ 85122-5757
Phone
(520) 381-0380
Fax
(520) 836-1826
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7964 AZ
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

580 N Camino Mercado Ste 8
Casa Grande, AZ 85122-5757

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446

Other names 1

  • Sarah A Pakltis Former name

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
I20210217002966 AZ Practitioner - Physician Assistant 1254746696 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7964AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Life Family Health Center, Inc. CurrentSince May 22, 2023 Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince May 22, 2023 Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients

Locations

580 N Camino Mercado
Ste 8
Casa Grande, AZ 85122
Phone (520) 381-0380

1856 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-0380

865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363

655 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 307-9471

Organizations & group practices 5

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1760073605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N CAMINO MERCADO STE 8",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225757",
            "telephone_number": "520-381-0380",
            "fax_number": "520-836-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSON",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "7964",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PAKLTIS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.