Provider Demographics
NPI:1811587694
Name:STAT CARE MEDICAL SERVICES
Entity Type:Organization
Organization Name:STAT CARE MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:KASPER
Authorized Official - Suffix:SR
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:760-808-2320
Mailing Address - Street 1:3783 E WOODSIDE WAY
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-7886
Mailing Address - Country:US
Mailing Address - Phone:520-413-5010
Mailing Address - Fax:949-655-5918
Practice Address - Street 1:5151 E BROADWAY RD STE 105
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-1346
Practice Address - Country:US
Practice Address - Phone:480-690-8815
Practice Address - Fax:480-690-8815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty