Individual provider Active NPI

Gary A Erbstoesser, DO

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1871692574
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02751 Issued in AZ
Practice address
3805 E Bell Road
St. 5300
Phoenix, AZ 85032
Phone
(602) 246-0351
Fax
(602) 246-7023
NPI assigned
Sep 21, 2006
Last updated
May 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2751 AZ
Family Medicine Physician 207Q00000X 02751 AZ Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 2751 AZ
Sports Medicine (Family Medicine) Physician 207QS0010X 02751 AZ

Addresses

Primary practice location

3805 E Bell Road
St. 5300
Phoenix, AZ 85032

Mailing address

3805 E Bell Road
St. 5300
Phoenix, AZ 85032
Phone (602) 246-0351

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
I20081223000164 AZ Practitioner - Family PracticePractitioner - Sports Medicine 9436211638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3805 E Bell Rd
Suite 5300
Phoenix, AZ 85032-2188
Phone (602) 246-0351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02751AZMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mountain Family Medicine PLLC Family Medicine CurrentSince Dec 1, 2008 Accepting new patients
Summit Medical Center Past Accepting new patients
Phoenix Family Physicians, LTD. Family Medicine Past Accepting new patients

Locations

3805 E Bell Rd
Ste 5300
Phoenix, AZ 85032
Phone (602) 246-0351

9250 N 3rd St
Ste 3020
Phoenix, AZ 85020
Phone (480) 939-3440

Interoperability endpoints

  • Direct secure messaging: gary.erbstoesser.1@8918.direct.athenahealth.com

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, 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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1871692574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E BELL ROAD",
            "address_2": "ST. 5300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-246-0351",
            "fax_number": "602-246-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL ROAD",
            "address_2": "ST. 5300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-246-0351",
            "fax_number": "602-246-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERBSTOESSER",
        "first_name": "GARY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2751",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "02751",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "2751",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "02751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.