Scottsdale Medical Center PLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

40913 Issued in AZ

Legal business name

SCOTTSDALE MEDICAL CENTER PLC

Practice address

10133 N 92ND St
Suite 101
Scottsdale, AZ 85258-4556

Phone

(480) 614-5808

Fax

(480) 614-5809

NPI assigned

Sep 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joseph A. Rotella, MD

Title

Owner

Phone

(480) 614-5808

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Joseph A. Rotella MD,DC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Richard, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1619151552
  NPD

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1174772487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY",
            "address_2": "SUITE #103-492",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542065",
            "telephone_number": "480-614-5808",
            "fax_number": "480-614-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10133 N 92ND ST",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584556",
            "telephone_number": "480-614-5808",
            "fax_number": "480-614-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE MEDICAL CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "ROTELLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-614-5808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AZ",
            "license": "40913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA LICENSE",
            "identifier": "40913",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph A. Rotella MD,DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scottsdale Internal Medicine Consultants Inc
• Scottsdale Mat Clinic
• Scottsdale MC, LLC
• Scottsdale McCormick Ranch Surgicenter LLC
• Scottsdale Medical Associates,Inc
• Scottsdale Medical Clinic LLC
• Scottsdale Medical Group LLC
• Scottsdale Medical Imaging, LTD
• Scottsdale Medical Partners LLC
• Scottsdale Medical PLLC

• Adult Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Adult Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.