Organization Active NPI

Az Allopathic Care, LLC

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
National Provider Identifier
1043657893
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
47294 Issued in AZ
Legal business name
AZ ALLOPATHIC CARE, LLC
Practice address
8131 E Indian Bend Rd
Suite 226
Scottsdale, AZ 85250-4822
Phone
(480) 294-0542
Fax
(480) 883-7241
NPI assigned
Jun 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Thomas Incledon, PHD, RD, LD, LN, RPT
Title
Managing Member
Phone
(480) 294-0542

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X AZ
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 47294 AZ Primary

Addresses

Primary practice location

8131 E Indian Bend Rd
Suite 226
Scottsdale, AZ 85250-4822

Mailing address

8131 E Indian Bend Rd
Suite 226
Scottsdale, AZ 85250-4822
Phone (480) 294-0542

National Provider Directory

National Provider Directory

Locations

8131 E Indian Bend Rd
Ste 226
Scottsdale, AZ 85250
Phone (480) 294-0542

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1043657893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 E INDIAN BEND RD",
            "address_2": "SUITE 226",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504822",
            "telephone_number": "480-294-0542",
            "fax_number": "480-883-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 E INDIAN BEND RD",
            "address_2": "SUITE 226",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504822",
            "telephone_number": "480-294-0542",
            "fax_number": "480-883-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ ALLOPATHIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "INCLEDON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-294-0542",
        "authorized_official_credential": "PHD, RD, LD, LN, RPT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "47294",
            "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 Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.