Stephanie Marie Penton, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

48909 Issued in AZ

Practice address

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Phone

(602) 933-1900

Fax

(602) 933-1918

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Miss Stephanie Marie Mayers Former name

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

Specialty

Emergency Medicine

Education

University of Miami, LM Miller School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Chandler Emergency Medical Group LLCGroup PAC ID 1658272968, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139
• Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114
• Exceptional Community Hospital - Maricopa Hospital, Maricopa, AZ, CCN 030152
• Dignity Health - Arizona General Hospital Hospital, Laveen, AZ, CCN 030136

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Chandler Emergency Medical Group, LLC

  • Emergency Medicine Physician
  • Chandler, AZ
  • NPI 1104871961
  Medicare reassignment Care Compare group NPD
• Tec Emergency Physicians of Arizona, LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
  • NPI 1245772870
  Medicare reassignment Care Compare group NPD
• Exceptional Physicians Group Arizona PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Maricopa, AZ
  • NPI 1447910229
  Medicare reassignment NPD
• Exceptional Physicians Group Bullhead City Hospital PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bullhead City, AZ
  • NPI 1518732023
  Medicare reassignment NPD
• Exceptional Physicians Group Eloy Hospital PLLC

  • Emergency Medicine Physician
  • Eloy, AZ
  • NPI 1760203855
  Medicare reassignment NPD
• Exceptional Physicians Group Prescott Hospital PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Prescott, AZ
  • NPI 1720807670
  Medicare reassignment NPD
• Exceptional Physicians Group Yuma Hospital PLLC

  • Emergency Medicine Physician
  • Yuma, AZ
  • NPI 1235857699
  Medicare reassignment NPD
• Phoenix Children'S Hospital

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1922112044
  Medicare reassignment NPD
• Progressive Medical Associates PLLC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1548218613
  Medicare reassignment NPD
• Northwest HBP Medical Services LLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1407353006
  NPD
• Phoenix Children'S Medical Group

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1487814240
  NPD
• Exceptional Health Care Bullhead City LLC

  • Special Hospital
  • Bullhead City, AZ
  • NPI 1750092110
  NPD (past)

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

• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Mesa, AZ
  • NPI 1053853978

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Goodyear, AZ
  • NPI 1083165849

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Glendale, AZ
  • NPI 1114466950

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • General Acute Care Hospital
  • Laveen, AZ
  • NPI 1154748416
  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Mesa, AZ
  • NPI 1154872950

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Chandler, AZ
  • NPI 1205378171

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Surprise, AZ
  • NPI 1235680034

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Glendale, AZ
  • NPI 1275084030

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Phoenix, AZ
  • NPI 1447700968

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Chandler, AZ
  • NPI 1508317306

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Phoenix, AZ
  • NPI 1548711302

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
  • NPI 1750831145

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1811918014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 E THOMAS RD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160008",
            "telephone_number": "602-933-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-1900",
            "fax_number": "602-933-1918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1955 W Frye Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246282",
            "country_code": "US",
            "telephone_number": "616-802-4336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENTON",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "48909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "SP082178",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "981048",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00369753",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MAYERS",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lashonia Shasherah Pennix
• Ruth Penno, FNP-C, CDE
• Penny Chiropractic, PLC
• Ryan Wells Penrod, PA-C
• Tim Penrod, LMFT
• Timothy Penton
• People of Color Network
• People of Color Network
• People of Color Network
• People of Color Network

• Emergency Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.