Individual provider Active NPI

Molly F Walsh, DO

  • Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1275504920
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
005628 Issued in AZ
Practice address
5010 E Shea Blvd Ste 175
Scottsdale, AZ 85254-4615
Phone
(480) 657-2000
Fax
(480) 657-2011
NPI assigned
Jan 31, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 005628 AZ Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 47139 MN

Addresses

Primary practice location

5010 E Shea Blvd Ste 175
Scottsdale, AZ 85254-4615

Mailing address

14256 N Northsight Blvd
Suite 120
Scottsdale, AZ 85260-3953
Phone (480) 657-2000

Other identifiers 1

IdentifierTypeStateIssuer
423030200MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110429000418 AZ Practitioner - Plastic and Reconstructive Surgery 1052397379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians

Practice addresses (Care Compare)

2945 S Dobson Rd
Mesa, AZ 85202-7941
Phone (480) 969-4138

5010 E Shea Blvd
Suite 175
Scottsdale, AZ 85254-4615
Phone (480) 657-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy19
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
005628AZMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Plastics PLLC Plastic Surgery CurrentSince Jan 1, 2017 Accepting new patients
Arizona Advanced Surgery LLC CurrentSince Nov 1, 2025 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Scottsdale Healthcare Corp CurrentSince Jun 1, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 1, 2020 Accepting new patients
Quad M Med PLLC Plastic Surgery Current Accepting new patients
ER Plastics LLC Plastic Surgery Past Accepting new patients
St. Paul Place Specialists, Inc. Past Accepting new patients

Locations

2945 S Dobson Rd
Mesa, AZ 85202
Phone (480) 699-2508

2945 S Dobson Rd
#2320N
Mesa, AZ 85202

1012 E Willetta St
Phoenix, AZ 85006
Phone (602) 239-6040

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

5010 E Shea Blvd
Ste 175
Scottsdale, AZ 85254
Phone (480) 657-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275504920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14256 N NORTHSIGHT BLVD",
            "address_2": "SUITE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603953",
            "telephone_number": "480-657-2000",
            "fax_number": "480-657-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E SHEA BLVD STE 175",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544615",
            "telephone_number": "480-657-2000",
            "fax_number": "480-657-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MOLLY",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "005628",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MN",
            "license": "47139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423030200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.