Lone Wolf Medicine, Inc
NPI 1053504225 · Medical Physician Assistant · Payson, AZ
Lone Wolf Medicine, Inc is a Medical Physician Assistant organization in Payson, AZ (NPI 1053504225).
Provider details
- NPI number
- 1053504225
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Marilyn Heron, Physician Assisitant(928) 474-6617
- License
- 1454 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-21
- Last updated
- 2007-08-21
Frequently asked questions
- What is Lone Wolf Medicine, Inc's NPI number?
- Lone Wolf Medicine, Inc's National Provider Identifier (NPI) is 1053504225, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lone Wolf Medicine, Inc?
- Lone Wolf Medicine, Inc is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lone Wolf Medicine, Inc located?
- Lone Wolf Medicine, Inc's practice location on file with NPPES is 806 S Ponderosa St, Payson, AZ 85541-5541.
- What is Lone Wolf Medicine, Inc's phone number?
- The practice phone number listed in the NPPES registry for Lone Wolf Medicine, Inc is (928) 474-6617.
- Who is the authorized official for Lone Wolf Medicine, Inc?
- The authorized official listed on Lone Wolf Medicine, Inc's NPPES record is Marilyn Heron, Physician Assisitant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lone Wolf Medicine, Inc's NPI active?
- Yes — Lone Wolf Medicine, Inc's NPI (1053504225) is active in the NPPES registry as of the last update on 2007-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.