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.
| 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 |
| 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 Legal Name | GRAND CANYON ANESTHESIA LLC |
| Physicians | 16 |
| 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 |
| Street Address |
2345 E THOMAS RD SUITE 400 |
| City | PHOENIX |
| State | AZ |
| Zip | 85016-7862 |
| 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 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Stone Iii | Undefined Physician Type (specify) | Valley Urogynecology Associates Ltd | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 |
| Shazia A Malik | Obstetrics/gynecology | Valley Urogynecology Associates Ltd | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 |
| Paul W Dickerson | Chiropractic | Paul W Dickerson Dc, Ltd | 6522 N 16th St, Suite 4, Phoenix, AZ 85016-1343 |
| Jill A Mehlhaf | Anesthesiology | 6245 N 16th St, Phoenix, AZ 85016-1706 | |
| Timothy O Fearon | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| David M Roessler | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| Lauri Lazarus | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| Ryan Hamic | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| William M Jacobsen | Plastic and Reconstructive Surgery | 2525 E Arizona Biltmore Cir, Suite C236, Phoenix, AZ 85016-2130 | |
| Gagandeep Arora | Chiropractic | Innovative Pain and Wellness Plc | 3135 E Lincoln Dr, Suite B, Phoenix, AZ 85016-2301 |
| Find all physicians in zip 85016 | |||
| City | PHOENIX |
| Zip Code | 85016 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | PHOENIX + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on David K Van Dam.
| 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.