Active NPI
Paul Wassermann, MD
- Specialist
- Scottsdale, AZ
National Provider Identifier
1033115068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 8194
- Practice address
- 3501 N Scottsdale Rd
Ste 300
Scottsdale, AZ 85251-5638 - Phone
- (480) 949-7808
- Fax
- (480) 946-9001
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 8194 | AZ | Primary |
Addresses
Primary practice location
3501 N Scottsdale Rd
Ste 300
Scottsdale, AZ 85251-5638
Mailing address
3501 N Scottsdale Rd
Ste 300
Scottsdale, AZ 85251-5638
Phone (480) 949-7808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8194 | AZ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1033115068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 N SCOTTSDALE RD",
"address_2": "STE 300",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515638",
"telephone_number": "480-949-7808",
"fax_number": "480-946-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 N SCOTTSDALE RD",
"address_2": "STE 300",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515638",
"telephone_number": "480-949-7808",
"fax_number": "480-946-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMANN",
"first_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "8194",
"primary": true
}
],
"identifiers": [],
"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 May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.