Scottsdale Medical Innovations, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

SCOTTSDALE MEDICAL INNOVATIONS, LLC

Practice address

7010 E Chauncey LN
Suite 215
Phoenix, AZ 85054-3111

Phone

(480) 314-2288

Fax

(480) 314-1113

NPI assigned

Mar 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sham Vengurlekar, MD

Title

Sole Member/Medical Director

Phone

(480) 314-0821

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1457883142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 E CHAUNCEY LN",
            "address_2": "SUITE 215",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543111",
            "telephone_number": "480-314-2288",
            "fax_number": "480-314-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 E CHAUNCEY LN",
            "address_2": "SUITE 215",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543111",
            "telephone_number": "480-314-2288",
            "fax_number": "480-314-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE MEDICAL INNOVATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "VENGURLEKAR",
        "authorized_official_first_name": "SHAM",
        "authorized_official_title_or_position": "SOLE MEMBER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-314-0821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scottsdale Healthcare Hospitals
• Scottsdale Heart & Vascular Associates LLC
• Scottsdale Housecall Physicians, LLC
• Scottsdale Internal Medicine PLLC
• Scottsdale Kidney Center LLC
• Scottsdale Mobile C Arm Services, LLC
• Scottsdale Pain Center LLC
• Scottsdale Pain-X PLLC
• Scottsdale Pediatrics and Pediatric Nephrology, PLLC
• Scottsdale Perinatal Associates LLC

• Pain Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pain Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.