Organization Active NPI

East Scottsdale Medical Care, PLLC

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1154452076
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19007 Issued in AZ
Legal business name
EAST SCOTTSDALE MEDICAL CARE, PLLC
Practice address
10565 N 114TH St # 103
Scottsdale, AZ 85259-4942
Phone
(480) 621-3505
NPI assigned
Mar 9, 2007
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Julie Longmire, FNP-CNPI 1710384193
Title
Owner
Phone
(480) 621-3505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19007 AZ Primary

Addresses

Primary practice location

10565 N 114TH St # 103
Scottsdale, AZ 85259-4942

Mailing address

10565 N 114TH St # 103
Scottsdale, AZ 85259-4942
Phone (480) 621-3505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070608000195 AZ Part B Supplier - Clinic/Group Practice 4385742782 Receives reassigned benefits from 3 practitioners
Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1066509East Scottsdale Medical Care10565 N 114TH St #103, Scottsdale, AZ 85259Provider-performed microscopyMar 25, 2027

National Provider Directory

National Provider Directory

Locations

10565 N 114th St
Ste 103
Scottsdale, AZ 85259
Phone (480) 621-3505

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70534

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1154452076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 N 114TH ST # 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594942",
            "telephone_number": "480-621-3505",
            "fax_number": "480-621-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10565 N 114TH ST # 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594942",
            "telephone_number": "480-621-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SCOTTSDALE MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "LONGMIRE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-621-3505",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "19007",
            "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 Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.