Individual provider Active NPI

Tiffany Anne Stadnick, MD

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
National Provider Identifier
1154614451
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
49502 Issued in AZ
Practice address
9745 N 90TH Place
Scottsdale, AZ 85258
Phone
(480) 661-1485
Fax
(480) 661-1495
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 49502 AZ Primary

Addresses

Primary practice location

9745 N 90TH Place
Scottsdale, AZ 85258

Mailing address

9745 N 90TH Place
Scottsdale, AZ 85258
Phone (480) 661-1485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150519001679 AZ Practitioner - Obstetrics/Gynecology 1759601578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arizona College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Scottsdale Women'S Health PLLCGroup PAC ID 7719043850, 5 clinicians

Practice addresses (Care Compare)

9745 N 90TH PL
Scottsdale, AZ 85258-5066
Phone (480) 661-1485

9745 N 90TH Place
Scottsdale, AZ 85258-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49502AZMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: tiffany.stadnick.1@20608.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20608/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1154614451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 N 90TH PLACE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-661-1485",
            "fax_number": "480-661-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 N 90TH PLACE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-661-1485",
            "fax_number": "480-661-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADNICK",
        "first_name": "TIFFANY",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "49502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.