Active NPI
Honorhealth Ambulatory
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Scottsdale, AZ
National Provider Identifier
1043855380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- HONORHEALTH AMBULATORY
- Practice address
- 10210 N 92ND St Ste 101
Scottsdale, AZ 85258-4523 - Phone
- (602) 861-1168
- NPI assigned
- Nov 11, 2019
- Last updated
- Nov 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Savas Petrides
- Title
- SVP
- Phone
- (480) 696-4020
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
10210 N 92ND St Ste 101
Scottsdale, AZ 85258-4523
Mailing address
2500 W Utopia Rd
Phoenix, AZ 85027-4171
Phone (480) 587-5314
Other practice location 1
10210 N 92nd St Ste 300
Scottsdale, AZ 85258-4525
Phone (480) 882-7750
Other names 1
- SCOTTSDALE HEALTHCARE CORP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071005000449 | AZ | Part B Supplier - Clinic/Group Practice | 5991603110 |
Receives reassigned benefits from 953 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Scottsdale Healthcare Corporation
Organizations with this tax ID in the same state 19
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Orthopaedic Surgery of the Spine Physician
- Glendale, AZ
- NPI 1013588300
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1023779451
-
- Clinical Cardiac Electrophysiology Physician
- Scottsdale, AZ
- NPI 1023871381
-
- Physical Medicine & Rehabilitation Physician
- Scottsdale, AZ
- NPI 1033733282
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1033785704
-
- Clinical Cardiac Electrophysiology Physician
- Scottsdale, AZ
- NPI 1033796677
-
- Surgery Physician
- Surprise, AZ
- NPI 1033960448
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1053063032
-
- Rheumatology Physician
- Scottsdale, AZ
- NPI 1053898692
-
- Gastroenterology Physician
- Peoria, AZ
- NPI 1053932327
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1063835825
-
dba Scottsdale Healthcare Primary Care Mesa
- Orthopaedic Surgery Physician
- Mesa, AZ
- NPI 1083047518
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Cardiovascular Disease Physician
- Glendale, AZ
- NPI 1235504895
-
- Physician Assistant
- Scottsdale, AZ
- NPI 1255893558
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1396125332
-
- Orthopaedic Surgery of the Spine Physician
- Mesa, AZ
- NPI 1083988257
-
- Orthopaedic Surgery of the Spine Physician
- Tempe, AZ
- NPI 1952531022
-
- Trauma Surgery Physician
- Phoenix, AZ
- NPI 1508361742
-
- Physician Assistant
- Santa Barbara, CA
- NPI 1457976144
-
- Gastroenterology Physician
- Middletown, NY
- NPI 1396727129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668038400000",
"number": "1043855380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W UTOPIA RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274171",
"telephone_number": "480-587-5314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10210 N 92ND ST STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584523",
"telephone_number": "602-861-1168"
}
],
"practiceLocations": [
{
"address_1": "10210 N 92nd St Ste 300",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852584525",
"country_code": "US",
"telephone_number": "480-882-7750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HONORHEALTH AMBULATORY",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-11",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A",
"authorized_official_last_name": "PETRIDES",
"authorized_official_first_name": "SAVAS",
"authorized_official_title_or_position": "SVP",
"authorized_official_telephone_number": "480-696-4020"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SCOTTSDALE HEALTHCARE CORP",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Nov 10, 2022; 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.