NPIMap

Organization Active NPI

Four Peaks Neurology, P.C.

  • Neurology Physician
  • Scottsdale, AZ
National Provider Identifier
1295869964
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
FOUR PEAKS NEUROLOGY, P.C.
Practice address
9746 N 90TH PL
#203
Scottsdale, AZ 85258-5085
Phone
(480) 614-0707
Fax
(480) 614-0353
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Cathy Finnerty
Title
Office Manager
Phone
(480) 614-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

9746 N 90TH PL
#203
Scottsdale, AZ 85258-5085

Mailing address

9746 N 90TH PL
#203
Scottsdale, AZ 85258-5085
Phone (480) 614-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040625000462 AZ Part B Supplier - Clinic/Group Practice 9032195516 Receives reassigned benefits from 6 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2959/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1295869964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9746 N 90TH PL",
            "address_2": "#203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585085",
            "telephone_number": "480-614-0707",
            "fax_number": "480-614-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9746 N 90TH PL",
            "address_2": "#203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585085",
            "telephone_number": "480-614-0707",
            "fax_number": "480-614-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR PEAKS NEUROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "FINNERTY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-614-0707"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "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 3, 2007; 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.