NPIMap

Individual provider Active NPI

Sara M Champoux, PA

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1932149986
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2732 Issued in AZ
Practice address
7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone
(480) 882-6359
Fax
(480) 882-4389
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2732 AZ Primary

Addresses

Primary practice location

7400 E Osborn Rd
Scottsdale, AZ 85251-6432

Mailing address

PO Box 2710
Scottsdale, AZ 85252-2710
Phone (480) 882-6359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040430000847 AZ Practitioner - Physician Assistant 6406843382 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2732AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Emergency Associates, LTD. Emergency Medicine CurrentSince Sep 1, 2005 Accepting new patients
Honorhealth CurrentSince Jul 25, 2023 Accepting new patients
Scottsdale Emergency Associates, LTD. Emergency Medicine CurrentSince Sep 1, 2005 Accepting new patients
Honorhealth CurrentSince Jul 25, 2023 Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Heartcare Specialist & Healing Center PastSince Apr 1, 2000 Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
James Nichols MD, LTD. PastSince Sep 11, 2021 Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Empower Emergency Physicians, PC Emergency Medicine Past Accepting new patients
Jill E Kerr, D. O. P.C. Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients

Locations

5316 E Shea Blvd
Ste 150
Scottsdale, AZ 85254
Phone (480) 534-4530

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1932149986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2710",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852522710",
            "telephone_number": "480-882-6359",
            "fax_number": "480-882-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E OSBORN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516432",
            "telephone_number": "480-882-6359",
            "fax_number": "480-882-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPOUX",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.