DR. BRYCE L. DURSTELER (NPI# 1942410410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942410410 |
| Entity Type | Individual |
| Full Name | DR. BRYCE L. DURSTELER |
| Credential | M.D. |
| Practice Address |
1255 W Washington St Tempe AZ 85281-1210 |
| Mailing Address |
Po Box 42210 Phoenix AZ 85080-2210 |
| Practice Telephone | 6026855211 |
| Practice Fax Number | 6026855325 |
| Mailing Telephone | 6232667770 |
| Mailing Fax Number | 6233224639 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
57175 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
57175 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 346505 | 05 | |
| AZ | ARIZONA MEDICAL LICENSE | 57175 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1900 N Higley Rd, Gilbert, AZ 852341604 | 6026855211 | 6026855325 |
| Street Address |
1255 W WASHINGTON ST |
| City | TEMPE |
| State | AZ |
| Zip Code | 85281-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952381717 | Karen A Miller | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2006-01-18 |
| 1144458811 | Cristina Maria Ramirez | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2009-07-01 |
| 1962645986 | Nichole Lee Steidler | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2009-04-07 |
| 1023256997 | Sabine Pargman | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2009-01-29 |
| 1376705590 | Yu Helen Zhang | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2008-06-29 |
| 1265613152 | Laboratory Sciences of Arizona LLC | Clinical Medical Laboratory | 1255 W Washington St, Tempe, AZ 85281-1210 | 2007-11-19 |
| 1871631002 | Sameer S Talwalkar | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2007-02-01 |
| 1053409078 | Rashad A. Aboul-nasr | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2006-10-11 |
| 1396775920 | Mary E. Adams | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2006-07-03 |
| 1033178918 | Leslie D Krahl | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2006-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1073124525 | Cinthia Guadalupe Arredondo Paramo | Nurse Practitioner | 1840 W. Broadway Rd., Tempe, AZ 85281 | 2020-08-10 |
| 1780219451 | Margaret Corbett | Specialist/Technologist | 500 East Veterans Way, Tempe, AZ 85281 | 2020-03-03 |
| 1457990913 | Renee Marie Rundle | Nurse Practitioner | 1750 E. University, Tempe, AZ 85281 | 2020-01-02 |
| 1265904932 | Halah Alateeq | Speech-Language Pathologist | Asu Speech & Hearing Clinic 975 S Myrtle Ave, Tempe, AZ 85281 | 2018-12-19 |
| 1962980961 | Calvin Wah Ngo | Dentist | 555 N. College Avenue, Apr 4018, Tempe, AZ 85281 | 2018-08-01 |
| 1922501840 | Sydney Blankenship | Physical Therapist | 260 E Rio Salado Pkwy, Apt 2045, Tempe, AZ 85281 | 2018-03-16 |
| 1609376698 | Agnes' Centers for Domestic Solutions | Community/Behavioral Health | 455 S 48th Street, 106, Tempe, AZ 85281 | 2018-02-15 |
| 1053826636 | Marta Solano | Nurse Practitioner | 415 S 48th St Ste 107, Tempe, AZ 85281 | 2017-12-05 |
| 1578085551 | Invitro Genetics Arizona | Clinical Medical Laboratory | 437 S. 48th Street, Suite 106, Tempe, AZ 85281 | 2017-07-12 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417050568 | Richard K Cochran | Pathology | 1700 N. Desert Drive, Tempe, AZ 85281 | 2006-09-06 |
| 1952381717 | Karen A Miller | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2006-01-18 |
| 1144458811 | Cristina Maria Ramirez | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2009-07-01 |
| 1376705590 | Yu Helen Zhang | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2008-06-29 |
| 1053409078 | Rashad A. Aboul-nasr | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2006-10-11 |
| 1033178918 | Leslie D Krahl | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2006-03-21 |
| 1962461087 | James J Avakian | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2006-03-18 |
| 1023086956 | Joseph M Foley | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2006-03-08 |
| 1508834425 | Peter Molloy | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2006-03-08 |
| 1336116763 | Kevin M Mccabe | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2006-03-03 |
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| 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.