NPIMap

Organization Active NPI

Honorhealth Ambulatory

Doing business as Scottsdale Healthcare Primary Care Paradise Valley

  • Neurology Physician
  • Scottsdale, AZ
National Provider Identifier
1205188158
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
HONORHEALTH AMBULATORY
Doing business as
Scottsdale Healthcare Primary Care Paradise Valley
Practice address
5010 E Shea Blvd Ste D100
Scottsdale, AZ 85254-4617
Phone
(480) 534-4516
NPI assigned
Oct 2, 2012
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
John Neil
Title
Ceo
Phone
(480) 587-5123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

5010 E Shea Blvd Ste D100
Scottsdale, AZ 85254-4617

Mailing address

PO Box 845635
Los Angeles, CA 90084-5635
Phone (623) 434-6200

Other names 1

  • Scottsdale Healthcare Primary Care Paradise Valley Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071005000449 AZ Part B Supplier - Clinic/Group Practice 5991603110 Receives reassigned benefits from 953 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

9250 N 3rd St
Ste 2030
Phoenix, AZ 85020
Phone (602) 264-7273

10210 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 882-7438

5020 E Shea Blvd
Ste 100
Scottsdale, AZ 85254
Phone (480) 443-0050

7351 E Osborn Rd
Ste 200B
Scottsdale, AZ 85251
Phone (480) 324-7217

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1205188158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845635",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845635",
            "telephone_number": "623-434-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E SHEA BLVD STE D100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544617",
            "telephone_number": "480-534-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONORHEALTH AMBULATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "NEIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-587-5123"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsdale Healthcare Primary Care Paradise Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scottsdale Healthcare Primary Care Paradise Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 10, 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.