Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Ehmke, PA-C

Individual provider Medical Physician Assistant · NPI 1639366321

Justin Ehmke, PA-C is a Physician Assistant in Queen Creek, Arizona. Qualified in 2007, 19 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
19
Licensed in
AZ
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

21321 E Ocotillo Rd Ste 118
Queen Creek, AZ 85242-5994
Phone: (480) 458-5135
Fax: (480) 458-5241

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3676 (AZ)

Record details

NPI number1639366321
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 26, 2007
Last updated in NPPESSeptember 26, 2007
Mailing address21321 E Ocotillo Rd Ste 118, Queen Creek, AZ 85242-5994

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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