Remus Repta MD PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

37978 Issued in AZ

Legal business name

REMUS REPTA MD PLLC

Practice address

3271 N Civic Center PLZ Ste 105
Scottsdale, AZ 85251-6990

Phone

(855) 377-3782

Fax

(928) 268-3517

NPI assigned

Jul 1, 2008

Organization subpart

No

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

Authorized official

Name

Meaghan Olmstead

Title

Surgical Administrator

Phone

(855) 377-3782

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1356503122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 N CIVIC CENTER PLZ STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516990",
            "telephone_number": "855-377-3782",
            "fax_number": "928-268-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 N CIVIC CENTER PLZ STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516990",
            "telephone_number": "855-377-3782",
            "fax_number": "928-268-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMUS REPTA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "OLMSTEAD",
        "authorized_official_first_name": "MEAGHAN",
        "authorized_official_title_or_position": "SURGICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "855-377-3782"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "37978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Plastic and Reconstructive Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.