NPIMap

Organization Active NPI

Arizona State University

Doing business as NP Healthcare - Scottsdale

  • Primary Care Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1447439195
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OTC 4747 Issued in AZ
Legal business name
ARIZONA STATE UNIVERSITY
Doing business as
NP Healthcare - Scottsdale
Practice address
3225 N Civic Center PLZ
Suite 10
Scottsdale, AZ 85251-6919
Phone
(480) 884-1717
Fax
(480) 884-1711
NPI assigned
Oct 30, 2007
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ARIZONA STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Dr. Denise Giannascoli Link, DNSCNPI 1164426417
Title
Associate Dean
Phone
(602) 496-0893

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
Primary Care Clinic/Center 261QP2300X OTC 4747 AZ Primary

Addresses

Primary practice location

3225 N Civic Center PLZ
Suite 10
Scottsdale, AZ 85251-6919

Mailing address

500 N 3Rd St
Suite 155
Phoenix, AZ 85004-2135
Phone (602) 496-0893

Other identifiers 3

IdentifierTypeStateIssuer
132134MedicaidAZ
Z21383OtherAZMEDICARE PTAN
03D0696288OtherAZCLIA ID NUMBER

Other names 1

  • NP Healthcare - Scottsdale Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721001291 AZ Part B Supplier - Clinic/Group Practice 7012997976 Receives reassigned benefits from 12 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tempe, AZ

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Infant Child Research Program

Locations

500 N 3rd St
Ste 155
Phoenix, AZ 85004
Phone (602) 496-0721

3225 N Civic Center Plz
Ste 10
Scottsdale, AZ 85251
Phone (480) 884-1717

Practitioners & affiliated clinicians

Practitioners 1

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1447439195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST",
            "address_2": "SUITE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042135",
            "telephone_number": "602-496-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 N CIVIC CENTER PLZ",
            "address_2": "SUITE 10",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516919",
            "telephone_number": "480-884-1717",
            "fax_number": "480-884-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA STATE UNIVERSITY",
        "enumeration_date": "2007-10-30",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "GIANNASCOLI",
        "authorized_official_title_or_position": "ASSOCIATE DEAN",
        "authorized_official_telephone_number": "602-496-0893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNSC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "OTC 4747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132134",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z21383",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "03D0696288",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NP Healthcare - Scottsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.