Individual provider Active NPI

Tymothi Claude, PA

  • Medical Physician Assistant
  • Litchfield Park, AZ
National Provider Identifier
1841718822
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6915 Issued in AZ
Practice address
14044 W Camelback Rd Ste 118
Litchfield Park, AZ 85340-9481
Phone
(623) 547-2600
Fax
(623) 547-1899
NPI assigned
Aug 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6915 AZ Primary

Addresses

Primary practice location

14044 W Camelback Rd Ste 118
Litchfield Park, AZ 85340-9481

Mailing address

14044 W Camelback Rd Ste 118
Litchfield Park, AZ 85340-9481
Phone (623) 547-2600

Other practice location 1

13050 N 103rd Ave
Sun City, AZ 85351-3011
Phone (623) 547-2600

Other practice location 2

3618 W Anthem Way Ste D114
Anthem, AZ 85086-0474
Phone (623) 547-2600

Other practice location 3

13802 W Meeker Blvd
Sun City West, AZ 85375-4422
Phone (623) 547-2600

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
I20180111000657 AZ Practitioner - Physician Assistant 7416216874 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Practice addresses (Care Compare)

13613 W Camino del Sol
Suite 1
Sun City West, AZ 85375-4480
Phone (480) 757-9854

1840 Mesquite Ave
Lake Havasu City, AZ 86403-5771
Phone (928) 719-8400

6145 W Chandler Blvd
Suite 2
Chandler, AZ 85226-3434
Phone (480) 454-8744

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
91.59
Promoting interoperability
94
Improvement activities
40
Cost
76.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6915AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Verde Hematology Oncology LTD. CurrentSince Dec 10, 2017 Accepting new patients
Arizona Digestive Health, PC Past Accepting new patients
Arizona Urology LLC PastSince Oct 1, 2021 Accepting new patients

Locations

3618 W Anthem Way
Ste D114
Anthem, AZ 85086
Phone (623) 312-3000

1488 W Elliot Rd
Gilbert, AZ 85233

7410 N Zanjero Blvd
Glendale, AZ 85305
Phone (602) 375-6230

5601 W Eugie Ave
Ste 106
Glendale, AZ 85304

17560 N 75th Ave
Ste 440
Glendale, AZ 85308
Phone (619) 985-6464

13555 W McDowell Rd
Ste 302
Goodyear, AZ 85395

14044 W Camelback Rd
Ste 118
Litchfield Pk, AZ 85340
Phone (623) 584-4882

2222 E Highland Ave
Ste 225
Phoenix, AZ 85016
Phone (602) 298-7777

16641 N 40th St
Ste 2
Phoenix, AZ 85032
Phone (602) 482-2929

9250 W Thomas Rd
Ste 150
Phoenix, AZ 85037
Phone (623) 478-8091

7373 N Scottsdale Rd
Ste E100
Scottsdale, AZ 85253
Phone 48094112112325

13050 N 103rd Ave
Sun City, AZ 85351

13802 W Meeker Blvd
Sun City West, AZ 85375
Phone 6233029300412

519 Rose Ln
Wickenburg, AZ 85390
Phone (844) 888-0408

Interoperability endpoints

  • Direct secure messaging: tclaude@lalasercenter.emadirect.md

Organizations & group practices 6

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841718822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD STE 118",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409481",
            "telephone_number": "623-547-2600",
            "fax_number": "623-547-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD STE 118",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409481",
            "telephone_number": "623-547-2600",
            "fax_number": "623-547-1899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13050 N 103rd Ave",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513011",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "fax_number": "623-547-1899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3618 W Anthem Way Ste D114",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850860474",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "fax_number": "623-547-1899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13802 W Meeker Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853754422",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "fax_number": "623-547-1899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAUDE",
        "first_name": "TYMOTHI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.