Organization Active NPI

Parkway Medical, PLC

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1417935115
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PARKWAY MEDICAL, PLC
Practice address
6565 E Greenway Pkwy
Suite 100
Scottsdale, AZ 85254-2056
Phone
(480) 348-3200
Fax
(480) 348-3210
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Dr. Martin Blume, D.O.NPI 1760486310
Title
Managing Partner
Phone
(480) 348-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6565 E Greenway Pkwy
Suite 100
Scottsdale, AZ 85254-2056

Mailing address

6565 E Greenway Pkwy
Suite 100
Scottsdale, AZ 85254-2056
Phone (480) 348-3200

Other identifiers 1

IdentifierTypeStateIssuer
03D1000564OtherAZCLIA ID NUMBER

National Provider Directory

National Provider Directory

Locations

3125 N Dysart Rd
Avondale, AZ 85392
Phone (623) 882-9161

6565 E Greenway Pkwy
Ste 100A
Scottsdale, AZ 85254
Phone (480) 348-3200

6565 E Greenway Pkwy
Scottsdale, AZ 85254
Phone (480) 348-3200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1417935115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 E GREENWAY PKWY",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542056",
            "telephone_number": "480-348-3200",
            "fax_number": "480-348-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 E GREENWAY PKWY",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542056",
            "telephone_number": "480-348-3200",
            "fax_number": "480-348-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY MEDICAL, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "480-348-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "03D1000564",
            "state": "AZ"
        }
    ],
    "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 Apr 28, 2009; 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.