Organization Active NPI

Rachel L Spieldoch MD PLLC

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
National Provider Identifier
1205130515
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35750 Issued in AZ
Legal business name
RACHEL L SPIELDOCH MD PLLC
Practice address
10617 N Hayden Rd
Suite B 102
Scottsdale, AZ 85260-5578
Phone
(480) 483-9011
Fax
(480) 483-2803
NPI assigned
Dec 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Dr. Rachel L Spieldoch, MDNPI 1730144858
Title
Ownerphysician
Phone
(480) 227-4110

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 35750 AZ Primary

Addresses

Primary practice location

10617 N Hayden Rd
Suite B 102
Scottsdale, AZ 85260-5578

Mailing address

10617 N Hayden Rd
Suite B 102
Scottsdale, AZ 85260-5578
Phone (480) 483-9011

Other identifiers 1

IdentifierTypeStateIssuer
35750OtherAZLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110420000511 AZ Part B Supplier - Clinic/Group Practice 5799960589 Receives reassigned benefits from 4 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

10617 N Hayden Rd
Ste B
Scottsdale, AZ 85260
Phone (480) 483-9011

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1205130515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10617 N HAYDEN RD",
            "address_2": "SUITE B 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605578",
            "telephone_number": "480-483-9011",
            "fax_number": "480-483-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10617 N HAYDEN RD",
            "address_2": "SUITE B 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605578",
            "telephone_number": "480-483-9011",
            "fax_number": "480-483-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL L SPIELDOCH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "SPIELDOCH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNERPHYSICIAN",
        "authorized_official_telephone_number": "480-227-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "35750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35750",
            "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 Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.