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

Scott E Lightfoot, PA-C

Individual provider Medical Physician Assistant · NPI 1750337192

Scott E Lightfoot, PA-C is a Physician Assistant in Glendale, Arizona. Qualified in 2004, 22 years ago. Practices with Banner Urgent Care Services LLC, a 205-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
22
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5810 W Beverly Ln
Glendale, AZ 85306-1800
Phone: (623) 312-3000
Fax: (623) 312-3060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3049 (AZ)

Record details

NPI number1750337192
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Banner Urgent Care Services Llc — 205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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