COPPER STATE VASCULAR
NPI 1639863863
Radiology - Vascular & Interventional Radiology in Mesa, AZ

NPI Status: Active since June 08, 2023

Contact Information

535 E MCKELLIPS RD STE 111
MESA, AZ
ZIP 85203
Phone: (480) 510-3079

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  • Organization
  • Radiology
  • Vascular & Interventional Radiology

About COPPER STATE VASCULAR

This page provides the complete NPI Profile along with additional information for Copper State Vascular, a provider established in Mesa, Arizona operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1639863863 assigned on June 2023. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Copper State Vascular operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Copper State Vascular. The authorized official of this NPI record is Dr. Marc L Eckhauser Md (Vascular Surgeon)

NPI
1639863863
Provider Legal Name
GHGB-I PLLC
Other Organization Name
COPPER STATE VASCULAR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
535 E MCKELLIPS RD STE 111 MESA, AZ 85203
Location Phone
(480) 510-3079
Mailing Address
535 E MCKELLIPS RD STE 111 MESA, AZ 85203
Mailing Phone
(480) 510-3079
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2023
Last Update Date
06-12-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Vascular & Interventional Radiology

Taxonomy Code
2085R0204X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARC L ECKHAUSER MD

Authorized Official Title
VASCULAR SURGEON
Authorized Official Phone
(480) 510-3079

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639863863
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691666812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 6 + 6 + 6 + 8 + 1 + 2 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1639863863 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013439520FIRST NATIONS LIMB PRESERVATION FOUNDATION
Organization
Radiology (Vascular & Interventional Radiology)535 E MCKELLIPS RD STE 111
MESA, AZ 85203
(480) 840-4230
1427583087MODERN VASCULAR OF MESA, LLC
Organization
Radiology (Vascular & Interventional Radiology)535 E MCKELLIPS RD STE 111
MESA, AZ 85203
(480) 223-1333
1295760916PAIN MANAGEMENT & REHABILITATION MEDICINE CENTER PC
Organization
Pain Medicine (Pain Medicine)535 E MCKELLIPS RD STE 111
MESA, AZ 85203
(480) 223-1333
1831947985ADVANCED MINIMALLY INVASIVE SURGICAL
Organization
Surgery (Vascular Surgery)535 E MCKELLIPS RD STE 111
MESA, AZ 85203
(480) 510-3079

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639863863, enumerated in the NPI registry as an "organization" on June 08, 2023

The provider is located at 535 E Mckellips Rd Ste 111 Mesa, Az 85203 and the phone number is (480) 510-3079

This medical organization specializes in Radiology with taxonomy code 2085R0204X with a focus in Vascular & Interventional Radiology

This NPI record was last updated on June 08, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.