Organization Active NPI

Scottsdale Plastic Surgeons, PLC

  • Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1295190338
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
SCOTTSDALE PLASTIC SURGEONS, PLC
Practice address
15757 N 78TH St
Suite a
Scottsdale, AZ 85260-1680
Phone
(480) 787-5815
Fax
(480) 787-5814
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. Ryan B. Tsujimura, MD
Title
Owner
Phone
(480) 787-5815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X AZ Primary

Addresses

Primary practice location

15757 N 78TH St
Suite a
Scottsdale, AZ 85260-1680

Mailing address

15757 N 78TH St
Suite a
Scottsdale, AZ 85260-1680
Phone (480) 787-5815

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2183009Scottsdale Plastic Surgeons, PLC15757 N 78TH St, Ste a, Scottsdale, AZ 85260Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory

Locations

15757 N 78th St
Ste A
Scottsdale, AZ 85260
Phone (408) 787-5815

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1295190338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15757 N 78TH ST",
            "address_2": "SUITE A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601680",
            "telephone_number": "480-787-5815",
            "fax_number": "480-787-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15757 N 78TH ST",
            "address_2": "SUITE A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601680",
            "telephone_number": "480-787-5815",
            "fax_number": "480-787-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE PLASTIC SURGEONS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "TSUJIMURA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-787-5815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.