Individual provider Active NPI

Paula K Rauschkolb, DO

  • Neurology Physician
  • Anthem, AZ
National Provider Identifier
1396963914
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
007761 Issued in AZ
Practice address
3654 W Anthem Way Ste B106
Anthem, AZ 85086-0455
Phone
(602) 848-3906
Fax
(602) 848-3454
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 17477 NH
Neurology Physician 2084N0400X 036-135148 IL
Neurology Physician 2084N0400X 007761 AZ Primary
Neurology Physician 2084N0400X 8292593-1204 UT

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

340 S Willard St
Cottonwood, AZ 86326-4126
Phone (928) 639-6025

Other practice location 2

1 Medical Center Dr
DHMC - Hem/Onc
Lebanon, NH 03756-1000
Phone (603) 650-2967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190110000060 AZ Practitioner - Neurology 6103075908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036-135148ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rauszek Neurology CurrentSince Jul 15, 2022 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Nov 1, 2018 Accepting new patients
Northern Arizona Healthcare Corporation Family Medicine CurrentSince Nov 1, 2018 Accepting new patients

Locations

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

450 S Willard St
Cottonwood, AZ 86326
Phone (928) 649-7991

340 S Willard St
Cottonwood, AZ 86326
Phone (928) 634-5551

340 S Willard St
Ste 101
Cottonwood, AZ 86326
Phone (928) 639-2015

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

107 E Oak Ave
Flagstaff, AZ 86001
Phone (928) 779-7880

107 E Oak Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 774-1811

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Flagstaff, AZ 86001
Phone (928) 773-2200

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

8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1396963914",
    "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": "340 S Willard St",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264126",
            "country_code": "US",
            "telephone_number": "928-639-6025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "DHMC - Hem/Onc",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-2967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUSCHKOLB",
        "first_name": "PAULA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "17477",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-135148",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "007761",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "8292593-1204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.