Individual provider Active NPI

Tobin P Stratman, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1932398302
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3746 Issued in AZ
Practice address
645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351
Phone
(480) 467-2273
Fax
(602) 648-4360
NPI assigned
Oct 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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 3746 AZ Primary

Addresses

Primary practice location

645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351

Mailing address

645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351
Phone (480) 467-2273

Other identifiers 1

IdentifierTypeStateIssuer
300746MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tobin.stratman@sep.eclinicaldirectplus.com

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
I20080218000078 AZ Practitioner - Physician Assistant 9931282704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Canyon Pain and SpineGroup PAC ID 3870992647, 17 clinicians

Practice addresses (Care Compare)

10238 E Hampton Ave
Suite 416
Mesa, AZ 85209-3320
Phone (480) 561-5000

13920 W Camino del Sol
Suite 8
Sun City, AZ 85375-4438
Phone (480) 561-5000

6320 A W Union Hills Dr
Suite 270
Glendale, AZ 85308-2151
Phone (480) 561-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Pain and Spine CurrentSince May 14, 2023 Accepting new patients

Locations

1425 S Higley Rd
Ste 102
Gilbert, AZ 85296
Phone (480) 329-3453

14445 W McDowell Rd
Ste A104
Goodyear, AZ 85395
Phone (480) 550-9393

10238 E Hampton Ave
Ste 416
Mesa, AZ 85209

4566 E Inverness Ave
Ste 108
Mesa, AZ 85206
Phone (480) 659-4811

13920 W Camino del Sol
Ste 8
Sun City West, AZ 85375
Phone (623) 544-6900

Interoperability endpoints

  • Direct secure messaging: tobin.stratman@sep.eclinicaldirectplus.com

Organizations & group practices 1

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1932398302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E MISSOURI AVE STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121351",
            "telephone_number": "480-467-2273",
            "fax_number": "602-648-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E MISSOURI AVE STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121351",
            "telephone_number": "480-467-2273",
            "fax_number": "602-648-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATMAN",
        "first_name": "TOBIN",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300746",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tobin.stratman@sep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "645 E Missouri Ave Ste 300",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850121351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.