Arizona Wellness Medicine LLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

005213 Issued in AZ

Legal business name

ARIZONA WELLNESS MEDICINE LLC

Practice address

8776 E Shea Blvd Ste 106-196
Scottsdale, AZ 85260-6629

Phone

(216) 288-8128

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Emily Parke, DO

Title

Wellness Physician

Phone

(216) 288-8128

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1295119022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8776 E SHEA BLVD STE 106-196",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606629",
            "telephone_number": "216-288-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8776 E SHEA BLVD STE 106-196",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606629",
            "telephone_number": "216-288-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA WELLNESS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "PARKE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "WELLNESS PHYSICIAN",
        "authorized_official_telephone_number": "216-288-8128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "AZ",
            "license": "005213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health & General Preventive Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Public Health & General Preventive Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.