Provider Demographics
NPI:1831557925
Name:KASE, EMILY C (PA-C)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:C
Last Name:KASE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:MICHELLE
Other - Last Name:CASTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:20201 N SCOTTSDALE HEALTHCARE DR STE 260
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4140
Mailing Address - Country:US
Mailing Address - Phone:480-398-1550
Mailing Address - Fax:480-398-1551
Practice Address - Street 1:20201 N SCOTTSDALE HEALTHCARE DR STE 260
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4140
Practice Address - Country:US
Practice Address - Phone:480-398-1550
Practice Address - Fax:480-398-1551
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6808363AS0400X, 363A00000X
VA0110005202363AS0400X
TXPA11295363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVVK498AOtherMEDICARE PTAN
VAC00014Medicare PIN