Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Dale Halley-Ibrahim, PA-C

Individual provider Physician Assistant · NPI 1841691755

Jonathan Dale Halley-Ibrahim, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2014, 12 years ago. Practices with Nextcare Arizona I Jv LLC, a 301-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2014
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

9321 W Thomas Rd Ste 202
Phoenix, AZ 85037-3392
Phone: (866) 974-2673
Fax: (866) 939-2673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5792 (AZ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1841691755
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2014
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Nextcare Arizona I Jv Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Phoenix