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

Loren Eberhard, PA

Individual provider Physician Assistant · NPI 1225284755

Loren Eberhard, PA is a Physician Assistant in Mesa, Arizona. Qualified in 2008, 18 years ago. Practices with Summit Medical Group Arizona LLC, a 153-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
18
Licensed in
AZ
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1425 S Greenfield Rd Ste 101
Mesa, AZ 85206
Phone: (480) 981-3000
Fax: (480) 325-3614
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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 4214 (AZ)

Record details

NPI number1225284755
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2008
Last updated in NPPESAugust 15, 2008
Mailing address1425 S. Greenfield Rd #101, Mesa, AZ 85206

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Summit Medical Group Arizona Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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