Charles Levesque PA-C, Inc.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1621 Issued in AZ

Legal business name

CHARLES LEVESQUE PA-C, INC.

Practice address

1776 N Scottsdale Rd Unit 368
Scottsdale, AZ 85252

Phone

(480) 201-5264

NPI assigned

Jan 5, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Charles Laurent Levesque, PA-C

Title

President

Phone

(480) 299-4603

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1942446414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852520368",
            "telephone_number": "480-201-5264",
            "fax_number": "480-393-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 N SCOTTSDALE RD UNIT 368",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85252",
            "telephone_number": "480-201-5264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6456 E Odessa St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852151691",
            "country_code": "US",
            "telephone_number": "480-299-4603",
            "fax_number": "480-924-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLES LEVESQUE PA-C, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LAURENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-299-4603",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "1621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1407005549",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd William Chapman, M.D.
• Ian Grant Chapple, P.T
• Rishi Ajeet Charate, MD
• Janyssa Charbonneau
• Sathish Chari, DDS
• Charles S Peterson MD PC
• Charles T. Crinnian, MD PC
• Raymond Igor Charles, D.C.
• Tryphose Charles, DMD
• Roshawnda Charley

• Surgical Physician Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.