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

Samuel Etienne, DR, PA

Individual provider Medical Physician Assistant · NPI 1134707300

Samuel Etienne, DR, PA is a Physician Assistant in Tempe, Arizona. Qualified in 2019, 7 years ago. Practices with Triad Chiropractic and Rehabilitation Clinics, LLC, a 6-clinician group, works from 9 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2021
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

2145 E Warner Rd Ste 104
Tempe, AZ 85284-3549
Phone: (480) 664-9443
Fax: (480) 664-9378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

  • 3011 S Lindsay Rd Ste 101, Gilbert, AZ 85295-4333 — (480) 726-2500
  • 3130 E Baseline Rd Ste 107, Mesa, AZ 85204-7290 — (480) 345-1980
  • 2919 S Ellsworth Rd Ste 111, Mesa, AZ 85212-2165 — (480) 564-1185
  • 15256 N 75th Ave Ste 360, Peoria, AZ 85381-4761 — (623) 486-2424
  • 20860 N Tatum Blvd Ste 290, Phoenix, AZ 85050-4282 — (480) 563-1144
  • 1277 E Missouri Ave Ste 101, Phoenix, AZ 85014-2916 — (602) 296-4060
  • 270 E Hunt Hwy Ste A-2, San Tan Valley, AZ 85143-4962 — (480) 882-2222
  • 14239 W Bell Rd Ste 108, Surprise, AZ 85374-2470 — (623) 248-4283

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 8319 (AZ)

Record details

NPI number1134707300
Entity typeIndividual (Type 1)
GenderMale
Credentials DR , PA
Sole proprietorYes
NPI enumeratedMarch 30, 2021
Last updated in NPPESMarch 1, 2023
Certification dateFebruary 28, 2023

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 Triad Chiropractic And Rehabilitation Clinics, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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