Individual provider Active NPI

Rebecca A Urso, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1356474506
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2859AZ Issued in AZ
Practice address
4550 E. Bell Road
#114
Phoenix, AZ 85032-9342
Phone
(602) 996-6668
Fax
(602) 971-8877
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2859AZ AZ Primary

Addresses

Primary practice location

4550 E. Bell Road
#114
Phoenix, AZ 85032-9342

Mailing address

15816 E. Eagle Eye PL.
Fountain Hills, AZ 85268
Phone (480) 816-5979

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

State licenses

LicenseStateTypeSpecialty
2859AZMDPhysical Therapist
2859AZAZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sobel Medical Consultants PC Past Accepting new patients
Sobel Medical Consultants PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1356474506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15816 E. EAGLE EYE PL.",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "85268",
            "telephone_number": "480-816-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E. BELL ROAD",
            "address_2": "#114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329342",
            "telephone_number": "602-996-6668",
            "fax_number": "602-971-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSO",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2859AZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.