Individual provider Active NPI

Stanley Howard Zoslow, M.D.

  • Vascular Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1396990032
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
AZ6922 Issued in AZ
Practice address
26449 N 110TH PL
Scottsdale, AZ 85255-8269
Phone
(480) 502-4607
Fax
(480) 502-4607
NPI assigned
Nov 21, 2008
Last updated
May 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X AZ6922 AZ
Vascular Surgery Physician 2086S0129X AZ6922 AZ Primary

Addresses

Primary practice location

26449 N 110TH PL
Scottsdale, AZ 85255-8269

Mailing address

26449 N 110TH PL
Scottsdale, AZ 85255-8269
Phone (480) 502-4607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AZ6922AZMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1396990032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26449 N 110TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558269",
            "telephone_number": "480-502-4607",
            "fax_number": "480-502-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26449 N 110TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558269",
            "telephone_number": "480-502-4607",
            "fax_number": "480-502-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOSLOW",
        "first_name": "STANLEY",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-21",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "AZ6922",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "AZ6922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.