Individual provider Active NPI

David Todd Scholzen, P.A.-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1104013515
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3705 Issued in AZ
Practice address
407 N Lindsay Rd
Suite 103-104
Mesa, AZ 85213-7710
Phone
(480) 807-0084
Fax
(480) 807-0091
NPI assigned
Sep 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3705 AZ Primary

Addresses

Primary practice location

407 N Lindsay Rd
Suite 103-104
Mesa, AZ 85213-7710

Mailing address

1250 S Clearview Ave
Suite 100
Mesa, AZ 85209-3378
Phone (480) 988-9108

Other identifiers 1

IdentifierTypeStateIssuer
795807MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130425000691 AZ Practitioner - Physician Assistant 8426294042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

3126 S Higley Rd
Suite 109
Gilbert, AZ 85295-2030
Phone (480) 827-5780

3160 E Queen Creek Rd
Gilbert, AZ 85297-8403
Phone (480) 827-5790

35945 N Gary Rd
San Tan Valley, AZ 85143-5748
Phone (480) 827-5750

40773 N Ironwood Dr
San Tan Valley, AZ 85140-7002
Phone (480) 827-5760

641 W Warner Rd
Gilbert, AZ 85233-7266
Phone (480) 827-5680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3705AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Services, LLC CurrentSince Oct 1, 2016 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Mar 5, 2018 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Oct 1, 2016 Accepting new patients
East Valley Urgent Care, LLC Past Accepting new patients
East Valley Urgent Care,LLC Past Accepting new patients

Locations (25 of 44)

11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

3200 S Gilbert Rd
Chandler, AZ 85286
Phone (480) 471-6404

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

1979 W Ray Rd
Chandler, AZ 85224
Phone (480) 821-9404

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

1641 E Guadalupe Rd
Gilbert, AZ 85234
Phone (480) 813-4233

3160 E Queen Creek Rd
Ste 104
Gilbert, AZ 85297
Phone (480) 889-1157

641 W Warner Rd
Gilbert, AZ 85233
Phone (480) 722-9828

3126 S Higley Rd
Ste 109
Gilbert, AZ 85295
Phone (480) 436-8102

1355 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 499-0201

1660 N Higley Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 827-5600

6702 W Bethany Home Rd
Ste 1315
Glendale, AZ 85303
Phone (623) 435-7000

4232 W Bell Rd
Ste C1
Glendale, AZ 85308
Phone (602) 639-4535

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

3328 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 239-0394

16430 W Yuma Rd
Goodyear, AZ 85338
Phone (623) 465-6405

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

1120 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 558-5278

407 N Lindsay Rd
Ste 103
Mesa, AZ 85213
Phone (480) 807-0084

1955 W Guadalupe Rd
Ste 101
Mesa, AZ 85202
Phone (480) 827-5620

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

1215 S Higley Rd
Mesa, AZ 85206
Phone (480) 218-4022

1157 S Crismon Rd
Ste 101
Mesa, AZ 85208
Phone (480) 827-5730

21980 N 83rd Ave
Peoria, AZ 85383
Phone (623) 465-6375

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1104013515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S CLEARVIEW AVE",
            "address_2": "SUITE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093378",
            "telephone_number": "480-988-9108",
            "fax_number": "480-813-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N LINDSAY RD",
            "address_2": "SUITE 103-104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852137710",
            "telephone_number": "480-807-0084",
            "fax_number": "480-807-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLZEN",
        "first_name": "DAVID",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-29",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "795807",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.