Individual provider Active NPI

Carolyn M Chu-Setterstrom, PA-C

  • Medical Physician Assistant
  • Mesa, AZ
National Provider Identifier
1821287038
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3737 Issued in AZ
Practice address
6116 E Arbor Ave
Suite 112
Mesa, AZ 85206-6107
Phone
(480) 641-5400
Fax
(480) 218-4353
NPI assigned
Oct 24, 2007
Last updated
Mar 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3737 AZ Primary

Addresses

Primary practice location

6116 E Arbor Ave
Suite 112
Mesa, AZ 85206-6107

Mailing address

6116 E Arbor Ave
Suite 112
Mesa, AZ 85206-6107
Phone (480) 641-5400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071217000127 AZ Practitioner - Physician Assistant 7517057441 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3737AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates of Mesa P C CurrentSince Oct 15, 2007 Accepting new patients

Locations

2730 S Val Vista Dr
Ste 140
Gilbert, AZ 85295
Phone (480) 277-0043

3513 S Mercy Rd
Gilbert, AZ 85297
Phone (420) 641-5400

6116 E Arbor Ave
Ste 112
Mesa, AZ 85206

6309 E Baywood Ave
Ste 101
Mesa, AZ 85206
Phone 48064154004010

37100 N Gantzel Rd
Ste 202
San Tan Valley, AZ 85140
Phone (480) 394-4469

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1821287038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 E ARBOR AVE",
            "address_2": "SUITE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066107",
            "telephone_number": "480-641-5400",
            "fax_number": "480-218-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 E ARBOR AVE",
            "address_2": "SUITE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066107",
            "telephone_number": "480-641-5400",
            "fax_number": "480-218-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU-SETTERSTROM",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.