Scottsdale Adult Medicine LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25523 Issued in AZ

Legal business name

SCOTTSDALE ADULT MEDICINE LLC

Practice address

10679 N. Frank Lloyd Wright Blvd.
F101
Scottsdale, AZ 85259

Phone

(480) 229-8276

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Hinchman, M.D.NPI 1346230364

Title

Owner/Manager

Phone

(480) 229-8276

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Glenn Hinchman, M.D.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1346230364
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1336322510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10679 N. FRANK LLOYD WRIGHT BLVD.",
            "address_2": "F101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10679 N. FRANK LLOYD WRIGHT BLVD.",
            "address_2": "F101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85259",
            "telephone_number": "480-229-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE ADULT MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "HINCHMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "480-229-8276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "25523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "119307",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Leigh Scott
• Jennifer Orna Scott, MB BCH BAO MRCPI
• Katelyn Scott, M.S. CCC-SLP
• Lara Scott
• Scottsdale Accident and Injury Medical Center PLLC
• Scottsdale Ambulatory Surgical Center, LLC
• Scottsdale and Shea Dental Group, LLP (Scottsdale and Shea Dental Group)
• Scottsdale Anesthesia Associates PLC
• Scottsdale Anesthesia Consultants LLC
• Scottsdale Anesthesia Group,LLC

• Medical Specialty Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.