Organization Active NPI

Scottsdale Accident and Injury Medical Center PLLC

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1104192715
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2479 Issued in AZ
Legal business name
SCOTTSDALE ACCIDENT AND INJURY MEDICAL CENTER PLLC
Practice address
9188 E San Salvador Dr
Ste 201
Scottsdale, AZ 85258-5562
Phone
(480) 292-8877
Fax
(480) 292-8868
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Mark P Siegel, D.O.
Title
Owner
Phone
(480) 292-8877

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 03720 AZ
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 2479 AZ Primary

Addresses

Primary practice location

9188 E San Salvador Dr
Ste 201
Scottsdale, AZ 85258-5562

Mailing address

9188 E San Salvador Dr
Ste 201
Scottsdale, AZ 85258-5562
Phone (480) 292-8877

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1104192715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9188 E SAN SALVADOR DR",
            "address_2": "STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585562",
            "telephone_number": "480-292-8877",
            "fax_number": "480-292-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9188 E SAN SALVADOR DR",
            "address_2": "STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585562",
            "telephone_number": "480-292-8877",
            "fax_number": "480-292-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE ACCIDENT AND INJURY MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-292-8877",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "03720",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2479",
            "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 Mar 28, 2012; 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.