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MS. JENNIFER GRAHAM DURSTELER PA C NPI 1740262724


NPI Information

NPI: 1740262724
Provider Name: MS. JENNIFER GRAHAM DURSTELER, PA C
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
13677 W MCDOWELL RD
GOODYEAR, AZ
ZIP 85338
Phone: (623) 882-1500
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MS. Jennifer Graham Dursteler, PA C is an emergency medicine in Goodyear, AZ. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MS. Jennifer Graham Dursteler, PA C NPI is 1740262724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13677 W MCDOWELL RD
GOODYEAR, AZ
ZIP 85338-618
Phone: (623) 882-1500

The NPI 1740262724 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 11/16/2005 and was last updated on 4/9/2013.


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
1207P00000XEmergency Medicine2709ARIZONAYes

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
1P82386MEDICARE UPIN
2453051001OTHERARIZONAGROUP HEALTH GROUP #
3AW1436OTHERARIZONAHEALTHNET GROUP #
43981220OTHERARIZONAEVERCARE GROUP #
5860373636OTHERARIZONAHUMANA GROUP #
6103632MEDICARE PINARIZONA
7762155MEDICAIDARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.