Paul Scott Charnetsky, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20645 Issued in AZ

Practice address

13851 W la Mar Blvd
Suite B
Goodyear, AZ 85338-1389

Phone

(623) 932-2200

Fax

(623) 932-2242

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of Arizona College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Home Health of Phoenix Home health agency, Tempe, AZ, CCN 037433
• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Paul S. Charnetsky, M.D. P.C.

  • Internal Medicine Physician
  • Goodyear, AZ
  • NPI 1982623542
  Medicare reassignment NPD Authorized official

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

• Healthy Living at Home - Arizona LLC

  dba Mission Home Health of Phoenix

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1437593159
  Care Compare affiliation
• Honorhealth

  dba HonorHealth John C. Lincoln Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1477515021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 W LA MAR BLVD",
            "address_2": "SUITE B",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381389",
            "telephone_number": "623-932-2200",
            "fax_number": "623-932-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 W LA MAR BLVD",
            "address_2": "SUITE B",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381389",
            "telephone_number": "623-932-2200",
            "fax_number": "623-932-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNETSKY",
        "first_name": "PAUL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "20645",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AZ",
            "license": "20645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE",
            "identifier": "20645",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph He Chang, D.D.S.
• Ryan Chang, PA-C
• Changing Lives
• Linda Chapman, LPN
• Charles Residential Care LLC
• Daniel D Charous, MD
• Genevieve Chavannes, SPEECH LANGUAGE PATH
• Viviane Che
• Howard K Chen, MD
• Ashley Marie Chesky, LPC

• Internal Medicine Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.