GARY KERSTEN MD PC NPI 1568535714

NPI Information

  • NPI: 1568535714
  • Provider Name: GARY KERSTEN MD PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1715 W NORTHERN AVE
    108
    PHOENIX, AZ
    ZIP 85021
  • Phone: (602) 395-0718

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NPI Details

GARY KERSTEN MD PC is a specialist in Phoenix, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GARY KERSTEN MD PC NPI is 1568535714. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1715 W NORTHERN AVE
108
PHOENIX, AZ
ZIP 85021-472
Phone: (602) 395-0718
Fax: (602) 277-8146

The provider's authorized official is Gary Kersten .
The authorized official title is Obgyn and has the following contact phone number (602) 395-0718.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 9/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z107626MEDICARE PINARIZONA
2B47368MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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