Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Colby Van Hale, PA-C

Individual provider Physician Assistant · NPI 1336888510

Colby Van Hale, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

500 W Thomas Rd Ste 800
Phoenix, AZ 85013-4217
Phone: (602) 406-1234
Fax: (602) 406-6368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 — (480) 728-4470
  • 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 — (480) 909-3788

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 9396 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 9396 (AZ)

Record details

NPI number1336888510
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 3, 2022
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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