Active NPI
Tracey D Drummond, M.D.
- Pediatrics Physician
- Scottsdale, AZ
National Provider Identifier
1417901828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20658
- Practice address
- 10565 N 114TH St
Suite 103
Scottsdale, AZ 85259-4942 - Phone
- (480) 621-3505
- Fax
- (480) 621-3506
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20658 | AZ | Primary |
Addresses
Primary practice location
10565 N 114TH St
Suite 103
Scottsdale, AZ 85259-4942
Mailing address
10565 N 114TH St
Suite 103
Scottsdale, AZ 85259-4942
Phone (480) 621-3505
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20658 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Scottsdale Medical Care, PLLC | Past | Accepting new patients |
Interoperability endpoints
- tracey.drummond@esmc.directbygreenway.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70534
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1154452076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195948800000",
"number": "1417901828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10565 N 114TH ST",
"address_2": "SUITE 103",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852594942",
"telephone_number": "480-621-3505",
"fax_number": "480-621-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10565 N 114TH ST",
"address_2": "SUITE 103",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852594942",
"telephone_number": "480-621-3505",
"fax_number": "480-621-3506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUMMOND",
"first_name": "TRACEY",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2007-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "20658",
"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 Nov 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.