David Kurt Van Dam, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA07971100 Issued in NJ

Practice address

6313 E Pinchot Ave
Scottsdale, AZ 85251-7020

Phone

(727) 772-3254

NPI assigned

Aug 21, 2006

Last updated

Jan 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laser Spine Institute of Arizona, LLC

  • Specialist
  • Scottsdale, AZ
  • NPI 1174778484
  NPD (past)
• Anesthesia Associates of Pinellas County

  • Specialist
  • Clearwater, FL
  • NPI 1396772620
  NPD (past)
• Clearwater Pain Management Associates

  • Pain Clinic/Center
  • Clearwater, FL
  • NPI 1477585883

  Anesthesiology

  NPD (past)
• Laser Spine Institute of Pennsylvania, LLC

  • Specialist
  • Wayne, PA
  • NPI 1730312786
  NPD (past)
• Laser Spine Institute, LLC

  • Specialist
  • Tampa, FL
  • NPI 1265483895
  NPD (past)
• Laser Spine Institute, LLC

  • Clinic/Center
  • Cincinnati, OH
  • NPI 1467844076
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1083729719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6313 E PINCHOT AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517020",
            "telephone_number": "727-772-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6313 E PINCHOT AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517020",
            "telephone_number": "727-772-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAM",
        "first_name": "DAVID",
        "middle_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "5693",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "MD2005-0411",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101238520",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "34412",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "235509-1",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME94752",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07971100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valor Behavioral Healthcare, Inc
• Valor Behavioral Healthcare, Inc
• Arturo Martin Valverde, MD
• Erin Marie Davis Van Buren, PT, DPT
• Lilyanne Kathryn Van Campen, PA-C
• Lexi Van Der Linden, M.S., CF-SLP
• Stephanie Van Gorder, NP
• Nicholas James Van Horssen, MD
• Sonja Van Mastrigt-de Graaff, NMD, PHD
• Eric Van Moorelehem, M.D.

• Anesthesiology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.