MR. REVI D PEXA PA-C NPI 1326073982

NPI Information

NPI: 1326073982
Provider Name: MR. REVI D PEXA, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1776 N SCOTTSDALE RD UNIT 368
SCOTTSDALE, AZ
ZIP 85252
Phone: (480) 201-5264
Get Directions

MR. Revi D Pexa, PA-C is a surgical physician assistant in Scottsdale, AZ with 25 years of experience. MR. Revi D Pexa, PA-C NPI is 1326073982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1776 N SCOTTSDALE RD UNIT 368
SCOTTSDALE, AZ
ZIP 85252-616
Phone: (480) 201-5264
Fax: (480) 393-1970

The NPI 1326073982 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 3/8/2017.

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
1	363AS0400X	Physician Assistant	Surgical	2473	ARIZONA	Yes

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
1	470295	MEDICAID	ARIZONA
2	S82882	MEDICARE UPIN	ARIZONA
3	Z134312	MEDICARE PIN	ARIZONA
4	Z125540	MEDICARE PIN	ARIZONA
5	102372	MEDICARE PIN	ARIZONA

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: 5/5/2024

NPI Synchronization or Removal

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