Diabevita Medical Center Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

22708 Issued in AZ

Legal business name

DIABEVITA MEDICAL CENTER INC

Practice address

7400 E McDonald Dr
Suite 105
Scottsdale, AZ 85250-6099

Phone

(480) 315-9757

Fax

(480) 315-9758

NPI assigned

Apr 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Helen E Hilts, MD

Title

Chief Medical Officer

Phone

(480) 315-9757

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1336383900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 E MCDONALD DRIVE",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85250",
            "telephone_number": "480-315-9757",
            "fax_number": "480-315-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E MCDONALD DR",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506099",
            "telephone_number": "480-315-9757",
            "fax_number": "480-315-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABEVITA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "HILTS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "480-315-9757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "22708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257833",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447737",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.