Active NPI
Randy Dee Danielsen, PA-C
- Medical Physician Assistant
- Scottsdale, AZ
National Provider Identifier
1356656342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1081
- Practice address
- 9220 E Mountain View Rd
Suite 200
Scottsdale, AZ 85258-5133 - Phone
- (480) 451-6756
- Fax
- (480) 451-8679
- NPI assigned
- Aug 13, 2010
- 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 | 1081 | AZ | Primary |
Addresses
Primary practice location
9220 E Mountain View Rd
Suite 200
Scottsdale, AZ 85258-5133
Mailing address
428 S Gilbert Rd
Suite 109
Gilbert, AZ 85296-2263
Phone (480) 633-3639
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Asthma Allergy Legacy PLC | Physician Assistant | Past | Accepting new patients |
| Arizona Asthma & Allergy Institute LTD | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60978
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.
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- NPI 1922099498
Physician Assistant
-
- Allergy & Immunology Physician
- Peoria, AZ
- NPI 1922762699
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281657600000",
"number": "1356656342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 S GILBERT RD",
"address_2": "SUITE 109",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852962263",
"telephone_number": "480-633-3639",
"fax_number": "888-372-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 E MOUNTAIN VIEW RD",
"address_2": "SUITE 200",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585133",
"telephone_number": "480-451-6756",
"fax_number": "480-451-8679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELSEN",
"first_name": "RANDY",
"middle_name": "DEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-13",
"last_updated": "2010-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "1081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.