Active NPI
Eugenia Ursan, DNP
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AP4661
- Practice address
- 4619 N 24TH St
Phoenix, AZ 85016-5203 - Phone
- (602) 956-0111
- Fax
- (602) 956-6789
- NPI assigned
- Sep 17, 2012
- Last updated
- Jul 1, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AP4661 | AZ | Primary |
Addresses
Primary practice location
4619 N 24TH St
Phoenix, AZ 85016-5203
Mailing address
4619 N 24TH St
Phoenix, AZ 85016-5203
Phone (602) 956-0111
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15396 N 83Rd Ave
Suite C101
Peoria, AZ 85381-5627
Phone (623) 889-7398
4619 N 24TH St
Phoenix, AZ 85016-5203
Phone (602) 956-0111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cas Chiropractic Center PC | Current | Accepting new patients | |
| Sheitelman Medical PLC | Current | Accepting new patients | |
| Cas Medical Center, LLC | Current | Accepting new patients | |
| Sheitelman Chiropractic Inc | Past | Accepting new patients | |
| American Family Chiropractic & Rehab at Desert Ridge, LLC | Past | Accepting new patients | |
| Afc Physical Medicine of Desert Ridge,PLLC | Past | Accepting new patients |
Locations
4619 N 24th St
Phoenix, AZ 85016
Phone (602) 956-0111
13757 W Bell Rd
Ste 101
Surprise, AZ 85374
Phone (623) 214-7600
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Phoenix, AZ
- NPI 1619489176
-
dba Arrowhead Physical Medicine LLC
- Adult Health Nurse Practitioner
- Peoria, AZ
- NPI 1831521871
-
- Chiropractor
- Phoenix, AZ
- NPI 1407911373
-
- Physical Therapist
- Surprise, AZ
- NPI 1508139429
-
- Family Medicine Physician
- Oro Valley, AZ
- NPI 1811756091
-
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
- NPI 1669731303
-
- Chiropractor
- Phoenix, AZ
- NPI 1538469234
-
- Chiropractor
- Surprise, AZ
- NPI 1144373978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1699025668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4619 N 24TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165203",
"telephone_number": "602-956-0111",
"fax_number": "602-956-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4619 N 24TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165203",
"telephone_number": "602-956-0111",
"fax_number": "602-956-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URSAN",
"first_name": "EUGENIA",
"name_prefix": "Mrs.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "AP4661",
"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 Jul 1, 2024; 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.