Active NPI
Philip M Wazny, NMD
- Naturopath
- Scottsdale, AZ
National Provider Identifier
1386790582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 06-914
- Practice address
- 9180 E Desert Cove Ave Ste 105
Scottsdale, AZ 85260-6254 - Phone
- (480) 993-3331
- Fax
- (480) 800-3240
- NPI assigned
- Jan 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 06-914 | AZ | Primary |
Addresses
Primary practice location
9180 E Desert Cove Ave Ste 105
Scottsdale, AZ 85260-6254
Mailing address
9180 E Desert Cove Ave Ste 105
Scottsdale, AZ 85260-6254
Phone (480) 993-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06-914 | AZ | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1386790582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9180 E DESERT COVE AVE STE 105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606254",
"telephone_number": "480-993-3331",
"fax_number": "480-800-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9180 E DESERT COVE AVE STE 105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606254",
"telephone_number": "480-993-3331",
"fax_number": "480-800-3240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAZNY",
"first_name": "PHILIP",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "NMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-28",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "06-914",
"primary": true
}
],
"identifiers": [],
"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 Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.