Individual provider Active NPI

Sarah Eccles Buckway, PA-C

  • Physician Assistant
  • Sun City West, AZ
National Provider Identifier
1932626876
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
14418 W Meeker Blvd Ste 106
Sun City West, AZ 85375-5290
Phone
(623) 544-8400
NPI assigned
Aug 22, 2017
Last updated
Aug 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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 AZ Primary

Addresses

Primary practice location

14418 W Meeker Blvd Ste 106
Sun City West, AZ 85375-5290

Mailing address

14151 W Larkspur Dr
Surprise, AZ 85379-5527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20210825003161 UT Practitioner - Physician Assistant 6709151905 Reassigns benefits to 1 organization

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
Mountain Orthopaedics LLCGroup PAC ID 7113282179, 26 clinicians

Practice addresses (Care Compare)

1551 Renaissance Town Dr
Suite 400
Bountiful, UT 84010-7676

1551 Renaissance Towne Dr
Suite 500
Bountiful, UT 84010-7678
Phone (801) 295-7200

201 W Layton Pkwy
Suite 400
Layton, UT 84041-3692
Phone (801) 295-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6824AZMDOccupational Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: sarah.buckway.1@27251.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1932626876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14151 W LARKSPUR DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14418 W MEEKER BLVD STE 106",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755290",
            "telephone_number": "623-544-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKWAY",
        "first_name": "SARAH",
        "middle_name": "ECCLES",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.