NPIMap

Organization Active NPI

Edicine Im PLLC

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1013313691
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4284 Issued in AZ
Legal business name
EDICINE IM PLLC
Practice address
34597 N 60TH St
Suite 110
Scottsdale, AZ 85266-5240
Phone
(480) 488-8020
Fax
(480) 264-6404
NPI assigned
Nov 10, 2014
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrew E Morrison, D.O.NPI 1003830555
Title
Owner/Physician
Phone
(480) 488-8020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4284 AZ Primary

Addresses

Primary practice location

34597 N 60TH St
Suite 110
Scottsdale, AZ 85266-5240

Mailing address

34597 N 60TH St
Suite 110
Scottsdale, AZ 85266-5240
Phone (480) 488-8020

Other practice location 1

1905 McDaniel St Ste 102
North Las Vegas, NV 89030-7170
Phone (480) 488-8020

Other identifiers 2

IdentifierTypeStateIssuer
250001255MedicaidNV
23857MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160106000892 AZ Part B Supplier - Clinic/Group Practice 3678875739 Receives reassigned benefits from 4 practitioners
Practice locations: Scottsdale, AZ
O20190625001854 NV Part B Supplier - Clinic/Group Practice 3678875739 Receives reassigned benefits from 2 practitioners
Practice locations: North Las Vegas, NV

National Provider Directory

National Provider Directory
Tax ID family
Edicine Im PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

34597 N 60th St
Ste 110
Scottsdale, AZ 85266
Phone (480) 488-8020

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1013313691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34597 N 60TH ST",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852665240",
            "telephone_number": "480-488-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34597 N 60TH ST",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852665240",
            "telephone_number": "480-488-8020",
            "fax_number": "480-264-6404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 McDaniel St Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890307170",
            "country_code": "US",
            "telephone_number": "480-488-8020",
            "fax_number": "480-264-6404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDICINE IM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "480-488-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250001255",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23857",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.