Stat Care Medical Services

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

STAT CARE MEDICAL SERVICES

Practice address

5151 E Broadway Rd Ste 105
Mesa, AZ 85206-1346

Phone

(480) 690-8815

Fax

(480) 690-8815

NPI assigned

Jan 25, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Craig Kasper Sr., FNP-BC

Title

President

Phone

(760) 808-2320

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1811587694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3783 E WOODSIDE WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977886",
            "telephone_number": "520-413-5010",
            "fax_number": "949-655-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061346",
            "telephone_number": "480-690-8815",
            "fax_number": "480-690-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT CARE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "KASPER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-808-2320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.