Primrose Primary Care and Wellness

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMROSE PRIMARY CARE AND WELLNESS

Practice address

10715 N Frank Lloyd Wright Blvd Ste 107
Scottsdale, AZ 85259-2691

Phone

(480) 860-5533

Fax

(480) 860-5005

NPI assigned

Mar 3, 2023

Last updated

Mar 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra A Tatum, MDNPI 1861504052

Title

Family Medicine Physician

Phone

(309) 261-3784

Specialties & licenses 1

Addresses

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra A Tatum, M.D.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1861504052
  Medicare reassignment NPD Authorized official
• Robert T Bailey, MD

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1427014273
  NPD
• Gypsy F Paar, MD

  • Family Medicine Physician
  • Honolulu, HI
  • NPI 1477592871
  NPD (past)

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1366142887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 N FRANK LLOYD WRIGHT BLVD STE 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592691",
            "telephone_number": "480-860-5533",
            "fax_number": "480-860-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10715 N FRANK LLOYD WRIGHT BLVD STE 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592691",
            "telephone_number": "480-860-5533",
            "fax_number": "480-860-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMROSE PRIMARY CARE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FAMILY MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "309-261-3784",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie D Priesman, MC
• Craig Barry Primack, MD
• Prime Time Dental Inc
• Primebody
• Lanirose Esteban Primero, RN, FNP-C
• Jason A Primus, M.D.
• Melissa J Prince Martin
• Ashley Prince
• Brittany Prince, CNT, CNC, CNHC
• Gary Michael Prince, MD

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.