Paul Scott Charnetsky in Goodyear - Adolescent Medicine
Paul Scott Charnetsky - NPI 1477515021
Paul Scott Charnetsky is a Adolescent Medicine in Goodyear, Arizona. Paul Scott Charnetsky practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Paul Scott Charnetsky is 1477515021. The last update date is 2007-08-14.
Paul Scott Charnetsky's current location address is 13851 W La Mar Blvd, Goodyear, Arizona. You can contact this provider via phone number 6239322200 and fax number 6239322242. The mailing address for Paul Scott Charnetsky is 13851 W La Mar Blvd, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Scott Charnetsky |
|---|---|
| Address | 13851 W La Mar Blvd, Goodyear, Arizona |
| Phone Number | 6239322200 |
| Fax Number | 6239322242 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477515021 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | 13851 W La Mar Blvd |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 853381389 |
| Phone Number | 6239322200 |
| Fax Number | 6239322242 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 20645 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20645 | AZ | AZ STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Paul Scott Charnetsky by the Centers for Medicare & Medicaid Services?
The Paul Scott Charnetsky has been assigned the NPI (National Provider Identifier) 1477515021. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Paul Scott Charnetsky?
The Paul Scott Charnetsky is situated at 13851 W La Mar Blvd, in the city of Goodyear, state of AZ, with the zip code 853381389.
What is the area of specialization for Paul Scott Charnetsky, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Paul Scott Charnetsky is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
On what date was the 1477515021 assigned to Paul Scott Charnetsky?
The Paul Scott Charnetsky was issued its 1477515021 on 2006-04-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Paul Scott Charnetsky, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul Scott Charnetsky, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-14.