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Active NPI 1134468267 Individual Practitioner Male Practitioner

Sam Faulkner Shumway , PA

Physician Assistant • Glendale, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Sam Shumway, PA is a certified Physician Assistant practicing in Glendale, AZ. With approximately 14 years of clinical experience since completing medical education in 2012, Sam Shumway delivers high-quality medical care to the local community at 7734 N 59TH AVE.

Sam Shumway is affiliated with Clinica La Familia Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7734 N 59th Ave

Glendale, AZ 853017816

Telephone 6025693999
Fax 6025693887
Associated Practice Facility / Clinic
🏢 Clinica Dr Alfonso Salas Pc Facility NPI 1265692792

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Glendale, AZ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +4.6 yrs vs City Avg
City Avg: 9.4 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
170 Specialists

Practicing in Glendale, AZ (3711 Statewide)

Telehealth Adoption Rate
14.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
64.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shumway (14 Years) 14 Yrs
Glendale Specialty Average (9.4 Years) 9.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
87 33 $295.00 $103.41
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
38 22 $50.00 $13.49
99213 Established patient office or other outpatient visit, typically 15 minutes
30 15 $200.00 $74.88

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 5284

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
863734 (AZ)

Hospital & Practice Group Affiliations

Clinica La Familia Pc

1315 W Southern Ave, Tempe, AZ 852824519

Phone: 6025693999

Clinica La Familia Pc

7734 N 59th Ave, Glendale, AZ 853017816

Phone: 6025693999

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1033422571

Doctor of Medicine (M.D.)

NPI 1053578195

Doctor of Medicine (M.D.)

Javier Padilla

Physician Assistant

NPI 1083383186
NPI 1104298215
Erick Torres , FNP

Nurse Practitioner - Family

NPI 1104457621

Family Nurse Practitioner

Maria Rodriguez

Nurse Practitioner - Family

NPI 1104462613

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2018

Registered at 7734 N 59TH AVE, GLENDALE, AZ 853017816 (Tel: 6025693999)

📍
Updated Business Mailing Address January 03, 2018

Registered at 1533 E WILLETTA ST, PHOENIX, AZ 850062935 (Tel: 6025693999)

👤
Provider Name / Credentials Updated January 03, 2018

Recorded as SAM SHUMWAY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2018

Physician Assistant (License #5284 in AZ)

NPI Profile Active August 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2016

Registered at 4540 E BASELINE RD, SUITE 108, MESA, AZ 852064613 (Tel: 4808923880)

📍
Updated Business Mailing Address August 26, 2016

Registered at 4540 E BASELINE RD, SUITE 108, MESA, AZ 852064613 (Tel: 4808923880)

👤
Provider Name / Credentials Updated August 26, 2016

Recorded as SAM SHUMWAY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2016

Physician Assistant (License #5284 in AZ)

🟢
Initial NPI Registration & Enumeration February 08, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134468267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2013
Last Update: August 23, 2019
Sole Proprietor: No

Mailing Address

1533 E Willetta St

Phoenix, AZ 850062935

Phone: 6025693999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.