Individual provider Active NPI

Janice Faye Hamilton, PA

  • Physician Assistant
  • Glendale, AZ
National Provider Identifier
1952486466
Registry record updated Apr 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3526 Issued in AZ
Practice address
8124 W Luke Ave
Glendale, AZ 85303-5146
Phone
(602) 565-8809
Fax
(623) 215-7467
NPI assigned
Oct 25, 2006
Last updated
Apr 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2015

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 3526 AZ Primary

Addresses

Primary practice location

8124 W Luke Ave
Glendale, AZ 85303-5146

Mailing address

8124 W Luke Ave
Glendale, AZ 85303-5146
Phone (602) 565-8809

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
I20070919000805 AZ Practitioner - Physician Assistant 8022102169 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3526AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services PC Physician Assistant CurrentSince May 1, 2024 Accepting new patients
Usacs of Colorado Inc CurrentSince Feb 1, 2025 Accepting new patients
Emergency Professional Services PC Physician Assistant CurrentSince May 1, 2024 Accepting new patients
Mesa General Emergency Physicians, LLC Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

5750 E Baseline Rd
Mesa, AZ 85206
Phone (602) 246-5797

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

Interoperability endpoints

  • Direct secure messaging: janice.hamilton@57560418353156.direct.elationemr.com

Organizations & group practices 9

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429315200000",
    "number": "1952486466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8124 W LUKE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853035146",
            "telephone_number": "602-565-8809",
            "fax_number": "623-215-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 W LUKE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853035146",
            "telephone_number": "602-565-8809",
            "fax_number": "623-215-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JANICE",
        "middle_name": "FAYE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.