Active NPI
George Stecyk, M.D.
- Family Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1114927548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11407
- Practice address
- 15720 N Greenway Hayden Loop
Suite 3
Scottsdale, AZ 85260-1796 - Phone
- (480) 991-4555
- Fax
- (480) 483-6550
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11407 | AZ | Primary |
Addresses
Primary practice location
15720 N Greenway Hayden Loop
Suite 3
Scottsdale, AZ 85260-1796
Mailing address
10869 N. Scottsdale Rd.
#103-180
Scottsdale, AZ 85254
Phone (480) 991-4555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 860756258 | Other | AZ | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1114927548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10869 N. SCOTTSDALE RD.",
"address_2": "#103-180",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85254",
"telephone_number": "480-991-4555",
"fax_number": "480-483-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15720 N GREENWAY HAYDEN LOOP",
"address_2": "SUITE 3",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601796",
"telephone_number": "480-991-4555",
"fax_number": "480-483-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STECYK",
"first_name": "GEORGE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "11407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "860756258",
"state": "AZ"
}
],
"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 Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.