NPIMap

Organization Active NPI

Comprehensive Medicine and Nutrition, PC

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1346459062
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36912 Issued in AZ
Legal business name
COMPREHENSIVE MEDICINE AND NUTRITION, PC
Practice address
6027 E Ironwood Dr
Scottsdale, AZ 85266-6734
Phone
(480) 845-0352
Fax
(480) 607-3808
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Cara Andrus
Title
Office Manager
Phone
(602) 867-1302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 36912 AZ Primary

Addresses

Primary practice location

6027 E Ironwood Dr
Scottsdale, AZ 85266-6734

Mailing address

23623 N Scottsdale Rd
Suite D-3 #479
Scottsdale, AZ 85255-0152
Phone (480) 845-0352

Other identifiers 1

IdentifierTypeStateIssuer
266216MedicaidAZ

National Provider Directory

National Provider Directory

Locations

23623 N Scottsdale Rd
Ste D3
Scottsdale, AZ 85255

22 Old Short Hills Rd
Ste 105
Livingston, NJ 07039
Phone (973) 498-8846

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1346459062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23623 N SCOTTSDALE RD",
            "address_2": "SUITE D-3 #479",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852550152",
            "telephone_number": "480-845-0352",
            "fax_number": "480-607-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 E IRONWOOD DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852666734",
            "telephone_number": "480-845-0352",
            "fax_number": "480-607-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICINE AND NUTRITION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-867-1302"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "36912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266216",
            "state": "AZ"
        }
    ],
    "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 Jan 24, 2018; 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.