| Alphamed | |
|
911 W Las Palmaritas Dr Phoenix AZ 85021-5546 | |
| (602) 505-0667 | |
| Not Available |
| Full Name | Alphamed |
|---|---|
| Speciality | Family Medicine |
| Location | 911 W Las Palmaritas Dr, Phoenix, Arizona |
| Authorized Official Name and Position | Matthew Shores (PARTNER) |
| Authorized Official Contact | 4804149868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alphamed 911 W Las Palmaritas Dr Phoenix AZ 85021-5546 | Alphamed 911 W Las Palmaritas Dr Phoenix AZ 85021-5546 Ph: (602) 505-0667 |
| NPI Number | 1730790080 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 04/06/2026 |
| Certification Date | 04/06/2026 |
| Medicare PECOS PAC ID | 9931529302 |
|---|---|
| Medicare Enrollment ID | O20201023001753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730790080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | () | Secondary |
| Provider Name | Tiffany W Parker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629320189 PECOS PAC ID: 3274511985 Enrollment ID: I20040709000637 |
| Provider Name | Kevin P Cantwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598779688 PECOS PAC ID: 8123073111 Enrollment ID: I20050311000915 |
| Provider Name | Denise L Gabaldon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083705685 PECOS PAC ID: 6204881261 Enrollment ID: I20050314000353 |
| Provider Name | Matthew D Overlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518916113 PECOS PAC ID: 8729013677 Enrollment ID: I20050929000756 |
| Provider Name | Rudy E Noriega |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184647927 PECOS PAC ID: 4284639857 Enrollment ID: I20061003000756 |
| Provider Name | Michael T Rabago |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336273721 PECOS PAC ID: 2860599685 Enrollment ID: I20070512000040 |
| Provider Name | Ezekias J Zink |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902092992 PECOS PAC ID: 9739275256 Enrollment ID: I20071015000359 |
| Provider Name | Matthew D Shores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861513889 PECOS PAC ID: 0042356982 Enrollment ID: I20091007000583 |
| Provider Name | Jenny R Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487824322 PECOS PAC ID: 6406981885 Enrollment ID: I20100324000545 |
| Provider Name | Jonathan D Halley-ibrahim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841691755 PECOS PAC ID: 9830311349 Enrollment ID: I20141118002426 |
| Provider Name | Stephanie Murphy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215331699 PECOS PAC ID: 2668791369 Enrollment ID: I20150430001727 |
| Provider Name | Michelle K Dawson-harrel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376913194 PECOS PAC ID: 6507176534 Enrollment ID: I20151104000193 |
| Provider Name | Kayla M Shelley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760739916 PECOS PAC ID: 7012142755 Enrollment ID: I20160111002086 |
| Provider Name | Fizzah Ahmed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386985786 PECOS PAC ID: 9133423643 Enrollment ID: I20160203001989 |
| Provider Name | Patricia D Layton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083077531 PECOS PAC ID: 4284933078 Enrollment ID: I20160428002052 |
| Provider Name | Rebecca Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477989531 PECOS PAC ID: 6901105402 Enrollment ID: I20160505000526 |
| Provider Name | Casandra L Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942753363 PECOS PAC ID: 9335435270 Enrollment ID: I20160901001563 |
| Provider Name | Lynzi K Warner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235687310 PECOS PAC ID: 3274812623 Enrollment ID: I20161108001221 |
| Provider Name | John Risi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932623469 PECOS PAC ID: 4385918283 Enrollment ID: I20171128002949 |
| Provider Name | Troy Lance Passmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528561016 PECOS PAC ID: 7012257488 Enrollment ID: I20190321000590 |
| Provider Name | Loren a Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487136685 PECOS PAC ID: 0143556407 Enrollment ID: I20190724000990 |
| Provider Name | Keri J Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104295195 PECOS PAC ID: 3678854361 Enrollment ID: I20201015000830 |
| Provider Name | Danielle Leigh Booth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780247429 PECOS PAC ID: 2769892728 Enrollment ID: I20201102001926 |
| Provider Name | Stacey R Root |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518358894 PECOS PAC ID: 9537408331 Enrollment ID: I20220111002754 |
| Provider Name | Anthony Rashad Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407595689 PECOS PAC ID: 6305213505 Enrollment ID: I20221101000718 |
| Provider Name | Randall Beaupre |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457883811 PECOS PAC ID: 7618351354 Enrollment ID: I20230209000803 |
| Provider Name | Sierra Patzke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922587450 PECOS PAC ID: 9830439215 Enrollment ID: I20231026002883 |
| Provider Name | Dylon Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992416903 PECOS PAC ID: 0244673515 Enrollment ID: I20240205000583 |
| Provider Name | Radha Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326672981 PECOS PAC ID: 0143638908 Enrollment ID: I20250220001116 |
| Provider Name | Kaitlyn Kay Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356221089 PECOS PAC ID: 0244723344 Enrollment ID: I20251205004305 |
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