David K Van Dam
GRAND CANYON ANESTHESIA LLC


Address: 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Phone: 6023432900

David K Van Dam (NPI# 1083729719, PAC ID# 2163454760) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1083729719
PAC ID by PECOS 2163454760
Professional Enrollment ID I20050902000699
Full Name David K Van Dam
Organization Legal Name GRAND CANYON ANESTHESIA LLC
Address 2345 E Thomas Rd
Suite 400
Phoenix
AZ 85016-7862
Phone Number 6023432900
Gender M
Credential MD
Graduation Year 2001
Primary Specialty ANESTHESIOLOGY
Group Practice PAC ID 3678824752
Number of Group Practice Members 22
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4838 E Baseline Rd, Suite 108, Mesa, AZ 85206-4672 4809247091 GRAND CANYON ANESTHESIA LLC
2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862 6023432900 GRAND CANYON ANESTHESIA LLC

Organization Information

Organization Legal Name GRAND CANYON ANESTHESIA LLC
Physicians 16

Physicians with the same organization

Name Specialty Organization Address
Christopher Lacerra Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Palak C Patel Anesthesiology Grand Canyon Anesthesia LLC 610 E Baseline Rd, Tempe, AZ 85283-1204
Anthony M Cilla Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
William S Harvey Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Anju Shrivastava Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Matthew R Spenla Certified Registered Nurse Anesthetist (crna) Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Hafez Azadeh Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Michael E James Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Erika L Vatsar Fail Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Anastasia Ganesh Certified Registered Nurse Anesthetist (crna) Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862

Office Location

Street Address 2345 E THOMAS RD
SUITE 400
City PHOENIX
State AZ
Zip 85016-7862

Physicians in the same location

Name Specialty Organization Address
Christopher Lacerra Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Anthony M Cilla Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
William S Harvey Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Anju Shrivastava Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Matthew R Spenla Certified Registered Nurse Anesthetist (crna) Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Hafez Azadeh Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Michael E James Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Erika L Vatsar Fail Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Anastasia Ganesh Certified Registered Nurse Anesthetist (crna) Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
Michael H Anderson Anesthesiology Grand Canyon Anesthesia LLC 2345 E Thomas Rd, Suite 400, Phoenix, AZ 85016-7862
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William M Jacobsen Plastic and Reconstructive Surgery 2525 E Arizona Biltmore Cir, Suite C236, Phoenix, AZ 85016-2130
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Competitor

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City PHOENIX
Zip Code 85016
Specialty ANESTHESIOLOGY
City + Specialty PHOENIX + ANESTHESIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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