Individual provider Active NPI

Scott Allen Wasserman, M.D.

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1467531582
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23328 Issued in AZ
Practice address
20201 N Scottsdale Healthcare Dr Ste 250
Scottsdale, AZ 85255-4138
Phone
(480) 821-6376
Fax
(480) 538-9368
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23328 AZ Primary

Addresses

Primary practice location

20201 N Scottsdale Healthcare Dr Ste 250
Scottsdale, AZ 85255-4138

Mailing address

20201 N Scottsdale Healthcare Dr Ste 250
Scottsdale, AZ 85255-4138
Phone (480) 821-6376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23328AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Team Physicians of Arizona PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467531582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20201 N SCOTTSDALE HEALTHCARE DR STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554138",
            "telephone_number": "480-821-6376",
            "fax_number": "480-538-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 N SCOTTSDALE HEALTHCARE DR STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554138",
            "telephone_number": "480-821-6376",
            "fax_number": "480-538-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "23328",
            "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 Jul 8, 2007; 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.