Individual provider Active NPI

Otilia E Husu, P.A.

  • Physician Assistant
  • Goodyear, AZ
National Provider Identifier
1194995951
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3720 Issued in AZ
Practice address
3030 N Litchfield Rd
Suite 110
Goodyear, AZ 85395-7803
Phone
(623) 882-3637
Fax
(623) 536-0410
NPI assigned
Mar 7, 2008
Last updated
Sep 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3720 AZ Primary

Addresses

Primary practice location

3030 N Litchfield Rd
Suite 110
Goodyear, AZ 85395-7803

Mailing address

3030 N Litchfield Rd
Suite 110
Goodyear, AZ 85395-7803
Phone (623) 882-3637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000210 AZ Order and Referring Only - Physician Assistant 7315123304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3720AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Darrin D. Scherer, D.O., PC PastSince Sep 1, 2002 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": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1194995951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N LITCHFIELD RD",
            "address_2": "SUITE 110",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957803",
            "telephone_number": "623-882-3637",
            "fax_number": "623-536-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N LITCHFIELD RD",
            "address_2": "SUITE 110",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957803",
            "telephone_number": "623-882-3637",
            "fax_number": "623-536-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSU",
        "first_name": "OTILIA",
        "middle_name": "E",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.