Active NPI
Todd M Doerr, MD
- Orthopaedic Surgery of the Spine Physician
- Scottsdale, AZ
National Provider Identifier
1205925260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 34341
- Practice address
- 20401 N 73Rd St
Suite 175
Scottsdale, AZ 85255-4107 - Phone
- (480) 353-0446
- Fax
- (877) 715-6428
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 34341 | AZ | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 34341 | AZ | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 34341 | AZ | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 34341 | AZ | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 34341 | AZ | |
| Orthopaedic Trauma Physician | 207XX0801X | 34341 | AZ |
Addresses
Primary practice location
20401 N 73Rd St
Suite 175
Scottsdale, AZ 85255-4107
Mailing address
PO Box 29870
Phoenix, AZ 85038-9870
Phone (602) 772-3800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0786641 | Other | AZ | BCBS OF AZ ID # |
| 7146624 | Other | AZ | AETNA PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34341 | AZ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slocum Orthopedics, PC | Orthopaedic Surgery | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery Physician
- Eugene, OR
- NPI 1881694867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1205925260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29870",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850389870",
"telephone_number": "602-772-3800",
"fax_number": "602-772-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20401 N 73RD ST",
"address_2": "SUITE 175",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852554107",
"telephone_number": "480-353-0446",
"fax_number": "877-715-6428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERR",
"first_name": "TODD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "34341",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "AZ",
"license": "34341",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "AZ",
"license": "34341",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "AZ",
"license": "34341",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "AZ",
"license": "34341",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "AZ",
"license": "34341",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AZ ID #",
"identifier": "AZ0786641",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "7146624",
"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 Jul 16, 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.