NPIMap

Organization Active NPI

Lpwallmd PC

  • Vascular Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1457168643
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
LPWALLMD PC
Practice address
8560 E Shea Blvd Ste 110
Scottsdale, AZ 85260-6679
Phone
(623) 544-6932
NPI assigned
Dec 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Limor Philipp WallNPI 1619959970
Title
Owner
Phone
(480) 652-3622

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
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

8560 E Shea Blvd Ste 110
Scottsdale, AZ 85260-6679

Mailing address

PO Box 29878
Phoenix, AZ 85038-9878
Phone (480) 652-3622

National Provider Directory

National Provider Directory

Locations

8560 E Shea Blvd
Ste 140
Scottsdale, AZ 85260
Phone (623) 544-6932

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1457168643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29878",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389878",
            "telephone_number": "480-652-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 E SHEA BLVD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606679",
            "telephone_number": "623-544-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LPWALLMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "LIMOR",
        "authorized_official_middle_name": "PHILIPP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-652-3622"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "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 Dec 18, 2024; 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.