Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Gabrielle Von Pahlen-Fedoroff, PAC

Individual provider Physician Assistant · NPI 1497798573

Stephanie Gabrielle Von Pahlen-Fedoroff, PAC is a Physician Assistant in Phoenix, Arizona. Qualified in 2005, 21 years ago. Practices with St Joseph's Hospital and Medical Center, a 23-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
21
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

500 W Thomas Rd Ste 400
Phoenix, AZ 85013-4238
Phone: (602) 406-3874
Fax: (602) 406-2335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4619 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 4619 (AZ)

Record details

NPI number1497798573
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice St. Joseph'S Hospital And Medical Center — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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