Organization Active NPI

Stutman Plastic Surgery PC

  • Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1154762581
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
STUTMAN PLASTIC SURGERY PC
Practice address
9977 N 90TH St
Ste 178
Scottsdale, AZ 85258-4423
Phone
(480) 488-3388
Fax
(480) 907-2405
NPI assigned
Jul 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Ross L Stutman, MD
Title
President
Phone
(480) 488-3388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

9977 N 90TH St
Ste 178
Scottsdale, AZ 85258-4423

Mailing address

8776 E Shea Blvd
Ste 106-470
Scottsdale, AZ 85260-6629
Phone (480) 488-3388

National Provider Directory

National Provider Directory

Locations

8776 E Shea Blvd
Ste 1064
Scottsdale, AZ 85260

9977 N 90th St
Ste 178
Scottsdale, AZ 85258
Phone (480) 947-7401

8776 E Shea Blvd
Ste 106470
Scottsdale, AZ 85260

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1154762581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8776 E SHEA BLVD",
            "address_2": "STE 106-470",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606629",
            "telephone_number": "480-488-3388",
            "fax_number": "480-907-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9977 N 90TH ST",
            "address_2": "STE 178",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584423",
            "telephone_number": "480-488-3388",
            "fax_number": "480-907-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUTMAN PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "STUTMAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-488-3388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "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 Dec 31, 2014; 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.