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

Kyle Sutherland

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225486442

Kyle Sutherland is a Physician Assistant in Phoenix, Arizona. Qualified in 2016, 10 years ago. Practices with Emergency Group of Arizona Professional Corporation, a 98-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3219 E Camelback Rd #205
Phoenix, AZ 85018-2307
Phone: (480) 388-1742
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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 6666 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225486442
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 27, 2016
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address3219 E Camelback Rd, 205, Phoenix, AZ 85018-2307

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Emergency Group Of Arizona Professional Corporation — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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