Paul D Angelchik MD PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

22382 Issued in AZ

Legal business name

PAUL D ANGELCHIK MD PC

Practice address

18275 N 59TH Ave
Suit 170 BLDG L
Glendale, AZ 85308-1260

Phone

(602) 237-5888

Fax

(602) 277-8146

NPI assigned

Apr 1, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon White

Title

Supervisor

Phone

(602) 443-2325

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1023250339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39179",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850699179",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE",
            "address_2": "SUIT 170 BLDG L",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-237-5888",
            "fax_number": "602-277-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D ANGELCHIK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "602-443-2325"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "22382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Patterson
• Jeannie Patterson, RN
• Stephanie Ruth Patterson, PTA
• Danielle Kay Patton, LPC, LISAC
• Rebecca Lynn Patton, PT, DPT
• Michael John Paul, RPH
• Pauliber Healthcare LLC
• Prabakaran Paulraj, PHD
• Kelly Jo Paulson, PA-C
• Ehday Paw

• Plastic and Reconstructive Surgery Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Plastic and Reconstructive Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.