Individual provider Active NPI

Damian Bundschuh, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Scottsdale, AZ
National Provider Identifier
1275815888
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
005955 Issued in AZ
Practice address
9590 E Ironwood Square Dr
Suite 106
Scottsdale, AZ 85258-4581
Phone
(480) 391-7631
Fax
(480) 314-5493
NPI assigned
Sep 9, 2011
Last updated
Jan 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 005955 AZ Primary

Addresses

Primary practice location

9590 E Ironwood Square Dr
Suite 106
Scottsdale, AZ 85258-4581

Mailing address

9590 E Ironwood Square Dr
Suite 106
Scottsdale, AZ 85258-4581
Phone (480) 391-7631

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
I20121204000399 AZ Practitioner - Osteopathic Manipulative Medicine 6406008150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9590 E Ironwood Square Dr
Suite 106
Scottsdale, AZ 85258-4598
Phone (480) 391-7631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005955AZMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bundschuh Osteopathic PLLC Neuromusculoskeletal Medicine & Omm CurrentSince Jun 21, 2015 Accepting new patients

Locations

9590 E Ironwood Square Dr
Ste 106
Scottsdale, AZ 85258
Phone (480) 254-6920

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1275815888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9590 E IRONWOOD SQUARE DR",
            "address_2": "SUITE 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584581",
            "telephone_number": "480-391-7631",
            "fax_number": "480-314-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9590 E IRONWOOD SQUARE DR",
            "address_2": "SUITE 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584581",
            "telephone_number": "480-391-7631",
            "fax_number": "480-314-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDSCHUH",
        "first_name": "DAMIAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-09",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "AZ",
            "license": "005955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.