Gartenberg Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4155 Issued in AZ

Legal business name

GARTENBERG FAMILY MEDICINE, PLLC

Practice address

8575 E Princess Dr
Suite # 107
Scottsdale, AZ 85255-5483

Phone

(602) 363-1631

Fax

(888) 360-8644

NPI assigned

May 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Elissa B. Gartenberg, D.O.NPI 1639152291

Title

Owner

Phone

(602) 363-1631

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Elissa B Gartenberg, D.O.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1639152291
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1295095883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16211 N SCOTTSDALE RD",
            "address_2": "SUITE A6A-213",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541584",
            "telephone_number": "602-363-1631",
            "fax_number": "888-360-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 E PRINCESS DR",
            "address_2": "SUITE # 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555483",
            "telephone_number": "602-363-1631",
            "fax_number": "888-360-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARTENBERG FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "GARTENBERG",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-363-1631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z154006",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Garrett
• Mollie Jean Garrison, AG-ACNP
• Thomas E Garrison, MD
• Garron R. Hale, M.D., P.C.
• Jensyn Dawn Garrow, PA-C
• Elissa B Gartenberg, D.O.
• Holly Alicia Gartler, PHD
• Sina Gartner, PT, DPT
• Peter A Garuccio, M.D.
• Janae Elise Garvey

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.