EVSA
NPI 1770295057
Physician Assistant - Surgical in Mesa, AZ

NPI Status: Active since December 19, 2022

Contact Information

8540 E MCDOWELL RD
UNIT 38
MESA, AZ
ZIP 85207
Phone: (480) 706-9430
Fax: (480) 378-2273

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  • Organization
  • Physician Assistant
  • Surgical

About EVSA

This page provides the complete NPI Profile along with additional information for Evsa, a provider established in Mesa, Arizona operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1770295057 assigned on December 2022. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Evsa. The authorized official of this NPI record is Mr. Charles Laurent Levesque Pa-c (Owner)

NPI
1770295057
Provider Legal Name
EAST VALLEY SURGICAL ASSISTING
Other Organization Name
EVSA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8540 E MCDOWELL RD UNIT 38 MESA, AZ 85207
Location Phone
(480) 706-9430
Location Fax
(480) 378-2273
Mailing Address
5155 E. EAGLE DRIVE # 20730 MESA, AZ 85277
Mailing Phone
(480) 706-9430
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2022
Last Update Date
04-24-2024
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. CHARLES LAURENT LEVESQUE PA-C

Authorized Official Title
OWNER
Authorized Official Phone
(480) 296-9893

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1407005549MEDICAID (05)AZ 
1407005549OTHER (01)AZVA, PRIVATE INSURERS, BUREAU OF INDIAN AFFAIRS

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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.
1770295057
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271404910010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 4 + 9 + 1 + 0 + 0 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1770295057 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770295057, enumerated as an "organization" on December 19, 2022.

The provider is located at 8540 E MCDOWELL RD UNIT 38 MESA, AZ 85207 and the phone number is (480) 706-9430.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.