Arizona Sports Medicine PLLC
NPI 1114623246ActiveOrganization· Physician Assistant· Tempe, AZ
Physician Assistant in Tempe, Arizona, registered in NPPES in January 2023. The authorized official on file is Phillip Veatch, PA-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114623246 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2023 |
| Last updated in NPPES | Mar 16, 2026 |
| Certified by provider | Mar 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
Other Physician Assistant providers in Tempe
- 1619482478
- 1356262141
- 1902324478
- 1821415621
- 1245604768
- 1508236290
- 1487187282
- 1699323469
- 1164112611
- 1912693284
- 1447882683
- 1982880068