Paul S. Charnetsky, M.D. P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20645 Issued in AZ

Legal business name

PAUL S. CHARNETSKY, M.D. P.C.

Practice address

13851 W la Mar Blvd
Suite B
Goodyear, AZ 85338-1389

Phone

(623) 932-2200

Fax

(623) 932-2242

NPI assigned

Jul 18, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Scott Charnetsky, M.D.NPI 1477515021

Title

Owner

Phone

(623) 932-2200

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Scott Charnetsky, M.D.

  • Internal Medicine Physician
  • Goodyear, AZ
  • NPI 1477515021
  Medicare reassignment NPD Authorized official
• Valarie Brookes Green

  • Family Nurse Practitioner
  • Goodyear, AZ
  • NPI 1831909878
  NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1982623542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 W LA MAR BLVD",
            "address_2": "SUITE B",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381389",
            "telephone_number": "623-932-2200",
            "fax_number": "623-932-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 W LA MAR BLVD",
            "address_2": "SUITE B",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381389",
            "telephone_number": "623-932-2200",
            "fax_number": "623-932-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S. CHARNETSKY, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CHARNETSKY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-932-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "20645",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AZ",
            "license": "20645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE",
            "identifier": "20645",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pathways Assisted Living and Memory Care, LLC
• Kyle James Patterson, PHARMD
• Stacie Lyn Patterson, PA
• Loveleen Paul, DO
• Jeffrey Paulus
• Marie Pavese, M.D.
• Jennifer Kaye Paweleck-Bellingrodt, PSY.D.
• Linda Gail Paxton

• Internal Medicine Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.