CARL ROBERT VANSELOW


Address: 3805 E Bell Rd, Suite 3100, Phoenix, AZ 85032-2105
Phone: 6028678644

CARL ROBERT VANSELOW (NPI# 1730186198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730186198
Entity Type Individual
Full Name CARL ROBERT VANSELOW
Credential PA
Practice Address 3805 E Bell Rd
Suite 3100
Phoenix
AZ 85032-2105
Mailing Address Po Box 98819
Las Vegas
NV 89193-8819
Practice Telephone 6028678644
Practice Fax Number 6027955698
Mailing Telephone 6028678644
Mailing Fax Number 6027955698
Enumeration Date 2005-06-30
Last Update Date 2016-08-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
2309 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ HEALTHNET 1Z5306 01
AZ 495920 05
AZ RAILROAD MEDICARE 970013946 01

Office Location

Street Address 3805 E BELL RD
SUITE 3100
City PHOENIX
State AZ
Zip Code 85032-2105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902801236 Carrie Beth Solodky Nurse Practitioner 3805 E Bell Rd, Suite 3100, Phoenix, AZ 85032-3345 2005-06-14
1750850830 Melissa Sue Strang Nurse Practitioner 3805 E Bell Rd, Phoenix, AZ 85032-2105 2018-11-18
1396270161 Cynthia M Archer Nurse Practitioner 3805 E Bell Rd, Suite 3100, Phoenix, AZ 85032-2105 2017-04-28
1124484126 I Select Healthcare PC Radiology 3805 E Bell Rd, Suite 5500, Phoenix, AZ 85032-2105 2016-01-06
1942678933 Alicia Colleen Nance Audiologist 3805 E Bell Rd, Ste. 5800, Phoenix, AZ 85032 2015-09-08
1003229782 Tamera Ann Querrey Registered Nurse 3805 E Bell Rd, Suite 4800, Phoenix, AZ 85032-2105 2014-06-10
1790197358 Sxr Medical LLC Clinic/Center 3805 E Bell Rd, Suite 5500, Phoenix, AZ 85032-2105 2014-05-29
1558702340 Danielle Marie Sparenga Nurse Practitioner 3805 E Bell Rd, Suite 3100, Phoenix, AZ 85032-2105 2013-07-09
1215374509 Wendy S Gilbertson Nurse Practitioner 3805 E Bell Rd, Ste 1100, Phoenix, AZ 85032-2105 2013-05-28
1962749986 Kurt W Sprunger Md Plc Surgery 3805 E Bell Rd, Suite 5300, Phoenix, AZ 85032-2105 2013-01-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689298838 Eboni Nicole Morris Psychologist 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 2020-06-03
1326688573 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 2020-01-15
1740836642 Integrated Medical Services Inc Internal Medicine 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 2019-08-15
1639739576 Sarah Martin Physical Therapy Assistant Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 2019-06-13
1750846168 Conte Sport Performance Therapy LLC Physical Therapist 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 2019-02-11
1659848208 Pacific Dental Services Foundation Physician Assistant 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 2018-10-31
1083100812 Phoenix Interventional Pain Management, Pllc Anesthesiology 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 2018-07-04
1770074635 Np Professional LLC Clinic/Center 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 2018-05-25
1932600020 North Phoenix Asc LLC Clinic/Center 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 2018-02-23
1396263307 Cheryl Anne Miller Registered Nurse 15002 N. 32nd St., Phoenix, AZ 85032 2017-08-30
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073121505 Alexandra R Koolmees Physician Assistant 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 2020-07-21
1568080620 Manuel Gerardo Pompa Physician Assistant 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 2020-07-06
1659848208 Pacific Dental Services Foundation Physician Assistant 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 2018-10-31
1124502372 Amanda Rose Jones Physician Assistant 36427 N 14th St, Phoenix, AZ 85086-7506 2018-09-23
1639681745 Martha Lopez Physician Assistant 7010 E Chauncey Ln Ste 210, Phoenix, AZ 85054-3115 2017-10-30
1386153674 Emily Meredith Eoff Physician Assistant 301 W Pasadena Ave Apt 4, Phoenix, AZ 85013-2342 2017-09-29
1659890754 Greg Horn Physician Assistant 20333 N 19th Ave Ste 230, Phoenix, AZ 85027-9901 2017-09-11
1619407269 Integrative Natural Medicine Physician Assistant 2025 E Campbell Ave, #259, Phoenix, AZ 85016-8501 2017-06-15
1174996870 Jyoti Sharma Physician Assistant 13838 S 46th Pl Ste 120, Phoenix, AZ 85044-7801 2015-11-04
1487025086 Shaye Harrel Physician Assistant 9305 W Thomas Rd Ste 478, Phoenix, AZ 85037-3375 2015-10-08
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Competitor

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City PHOENIX
Zip Code 85032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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