Organization Active NPI

Rauszek

  • Neurology Physician
  • Anthem, AZ
National Provider Identifier
1215664156
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
RAUSZEK
Practice address
3654 W Anthem Way Ste B106
Anthem, AZ 85086-0455
Phone
(602) 848-3906
Fax
(602) 848-3454
NPI assigned
Aug 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Dr. Paula RauschkolbNPI 1396963914
Title
Owner
Phone
(602) 848-3906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

3654 W Anthem Way Ste B106
Anthem, AZ 85086-0455

Mailing address

3654 W Anthem Way Ste B106
Anthem, AZ 85086-0455
Phone (602) 848-3906

Other practice location 1

39506 N Daisy Mountain Dr Ste 122491
Phoenix, AZ 85086-6081
Phone (602) 848-3906

Other names 1

  • ANTHEM NEUROLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220928000808 AZ Part B Supplier - Clinic/Group Practice 8426434499 Receives reassigned benefits from 1 practitioner
Practice locations: Anthem, AZ

National Provider Directory

National Provider Directory

Locations

3654 W Anthem Way
Ste B106
Anthem, AZ 85086
Phone (602) 848-3906

39506 N Daisy Mountain Dr
Ste 122491
Phoenix, AZ 85086
Phone (602) 848-3906

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1215664156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3654 W ANTHEM WAY STE B106",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860455",
            "telephone_number": "602-848-3906",
            "fax_number": "602-848-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 W ANTHEM WAY STE B106",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860455",
            "telephone_number": "602-848-3906",
            "fax_number": "602-848-3454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39506 N Daisy Mountain Dr Ste 122491",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850866081",
            "country_code": "US",
            "telephone_number": "602-848-3906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAUSZEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "RAUSCHKOLB",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-848-3906",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANTHEM NEUROLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANTHEM NEUROLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.