Scottsdale Medical Clinic LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SCOTTSDALE MEDICAL CLINIC LLC

Practice address

4432 N Miller Rd Ste 102
Scottsdale, AZ 85251-3697

Phone

(480) 306-7227

NPI assigned

Nov 26, 2018

Organization subpart

No

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

Authorized official

Name

Michael Cormier

Title

President

Phone

(480) 306-7227

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1114497864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 N MILLER RD STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513697",
            "telephone_number": "480-306-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 N MILLER RD STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513697",
            "telephone_number": "480-306-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "CORMIER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-306-7227"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Scottsdale Medical Imaging, LTD
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• Scottsdale Medical PLLC
• Scottsdale Medical Specialists

• General Practice Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.