Organization Active NPI

North Scottsdale Medical PLLC

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1447519731
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27717 Issued in AZ
Legal business name
NORTH SCOTTSDALE MEDICAL PLLC
Practice address
9445 E Ironwood Square Dr
Suite 100
Scottsdale, AZ 85258-4574
Phone
(480) 551-1005
Fax
(480) 513-8439
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Steven Weisman, MDNPI 1720038656
Title
Owner
Phone
(480) 551-1005

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 27717 AZ Primary

Addresses

Primary practice location

9445 E Ironwood Square Dr
Suite 100
Scottsdale, AZ 85258-4574

Mailing address

9445 E Ironwood Square Dr
Suite 100
Scottsdale, AZ 85258-4574
Phone (480) 551-1005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120611000641 AZ Part B Supplier - Clinic/Group Practice 2163686742 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1041607North Scottsdale Medical PLLC9445 E Ironwood Square Dr, Ste 100, Scottsdale, AZ 85258Certificate of waiverJun 6, 2027

National Provider Directory

National Provider Directory

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": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1447519731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9445 E IRONWOOD SQUARE DR",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584574",
            "telephone_number": "480-551-1005",
            "fax_number": "480-513-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 E IRONWOOD SQUARE DR",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584574",
            "telephone_number": "480-551-1005",
            "fax_number": "480-513-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SCOTTSDALE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "WEISMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-551-1005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "27717",
            "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 May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.