Active NPI
William Resseguie, PA
- Medical Physician Assistant
- Glendale, AZ
National Provider Identifier
1093777625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3579
- Practice address
- 5601 W Eugie Ave
Suite 106
Glendale, AZ 85304-1255 - Phone
- (602) 978-9255
- Fax
- (602) 230-9350
- NPI assigned
- Apr 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3579 | AZ | Primary |
Addresses
Primary practice location
5601 W Eugie Ave
Suite 106
Glendale, AZ 85304-1255
Mailing address
5601 W Eugie Ave
Suite 106
Glendale, AZ 85304-1255
Phone (602) 978-9255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3579 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Oncology Associates PC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093777625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 W EUGIE AVE",
"address_2": "SUITE 106",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853041255",
"telephone_number": "602-978-9255",
"fax_number": "602-230-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 W EUGIE AVE",
"address_2": "SUITE 106",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853041255",
"telephone_number": "602-978-9255",
"fax_number": "602-230-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESSEGUIE",
"first_name": "WILLIAM",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "3579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.