Active NPI
Rauszek
- Neurology Physician
- Anthem, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paula Rauschkolb
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Physician
- Anthem, AZ
- NPI 1396963914
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.