GNR Ventures LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

34839 Issued in AZ

Legal business name

GNR VENTURES LLC

Practice address

1837 W Guadalupe Rd
Suite 112
Mesa, AZ 85202-7441

Phone

(480) 467-2167

Fax

(480) 614-4477

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rodney Raabe, M.D.NPI 1336101997

Title

Medical Director

Phone

(480) 467-2167

Specialties & licenses 1

Addresses

Other names 1

• Vanishing Veins of Arizona Doing business as

Locations

Practitioners 3

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

• Rodney D Raabe, MD

  • Vascular & Interventional Radiology Physician
  • Spokane, WA
  • NPI 1336101997
  NPD (past) Authorized official
• Gary Lynn Kersten, M.D.

  • Phlebology Physician
  • Phoenix, AZ
  • NPI 1861494197
  NPD (past)
• Spice A Lussier, NMD

  • Naturopath
  • Scottsdale, AZ
  • NPI 1932235876
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1376711242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 W GUADALUPE RD",
            "address_2": "SUITE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027441",
            "telephone_number": "480-467-2167",
            "fax_number": "480-614-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 W GUADALUPE RD",
            "address_2": "SUITE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027441",
            "telephone_number": "480-467-2167",
            "fax_number": "480-614-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNR VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "RAABE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-467-2167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "34839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanishing Veins of Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Showanna Glover, MS, CLINICIAN I
• Mollie Glovinsky, DNP, PMHNP-BC
• Glowline Sisters Beauty & Wellness
• Elizabeth Marie Gluff, LCSW
• Comfort Gmandan
• Goal Az LLC
• Godard Chiropractic
• Gerald Craig Godard, DC
• Julie Ann Godel, MS LISAC
• Floyd Keith Godfrey

• Specialist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.