Organization Active NPI

Edward G Scates DPM PC

  • Podiatrist
  • Phoenix, AZ
National Provider Identifier
1417221623
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0326 Issued in AZ
Legal business name
EDWARD G SCATES DPM PC
Practice address
3832 E Thomas Rd
Phoenix, AZ 85018-7510
Phone
(602) 955-4515
Fax
(602) 955-7096
NPI assigned
Mar 6, 2012
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Edward G. Scates, DPMNPI 1487640710
Title
President
Phone
(602) 955-4515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0326 AZ Primary

Addresses

Primary practice location

3832 E Thomas Rd
Phoenix, AZ 85018-7510

Mailing address

3832 E. Thomas Road
Phoenix, AZ 85018-7510
Phone (602) 955-4515

National Provider Directory

National Provider Directory

Locations

3832 E Thomas Rd
Phoenix, AZ 85018
Phone (602) 955-2030

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1417221623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 E. THOMAS ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187510",
            "telephone_number": "602-955-4515",
            "fax_number": "602-955-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187510",
            "telephone_number": "602-955-4515",
            "fax_number": "602-955-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD G SCATES DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "SCATES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-955-4515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.