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

Individual provider Physician Assistant · NPI 1952863003

Nathan Blackhurst, PA is a Physician Assistant in Chandler, Arizona. Qualified in 2019, 7 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019
Specialties on file
2
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

485 S Dobson Rd Ste 110
Chandler, AZ 85224-5600
Phone: (480) 728-4470
Fax: (480) 728-4499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3033 N 44th St Ste 100, Phoenix, AZ 85018-7227 — (602) 631-3166

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 7553 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 7553 (AZ)

Record details

NPI number1952863003
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 5, 2019
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing addressPo Box 33269, Phoenix, AZ 85067-3269

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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