Organization Active NPI

Scottsdale Gastroenterologist,P.C.

  • Gastroenterology Physician
  • Scottsdale, AZ
National Provider Identifier
1104093798
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
8901 Issued in AZ
Legal business name
SCOTTSDALE GASTROENTEROLOGIST,P.C.
Practice address
3271 N Civic Center PLZ
Suite 2
Scottsdale, AZ 85251-6990
Phone
(480) 949-1260
Fax
(480) 947-4702
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Dr. Robert G Leon, MD
Title
President
Phone
(480) 949-1260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 8901 AZ Primary

Addresses

Primary practice location

3271 N Civic Center PLZ
Suite 2
Scottsdale, AZ 85251-6990

Mailing address

3271 N Civic Center Plaza
Suite 2
Scottsdale, AZ 85251-6990
Phone (480) 949-1260

National Provider Directory

National Provider Directory

Locations

3271 N Civic Center Plz
Ste 2
Scottsdale, AZ 85251
Phone (480) 949-1260

3271 N Civic Center Plz
#2
Scottsdale, AZ 85251
Phone (480) 949-1260

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1104093798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 N CIVIC CENTER PLAZA",
            "address_2": "SUITE 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516990",
            "telephone_number": "480-949-1260",
            "fax_number": "480-947-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 N CIVIC CENTER PLZ",
            "address_2": "SUITE 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516990",
            "telephone_number": "480-949-1260",
            "fax_number": "480-947-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE GASTROENTEROLOGIST,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-949-1260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "8901",
            "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 28, 2008; 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.