Alvin B. Elisco, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14146 Issued in AZ

Legal business name

ALVIN B. ELISCO, MD PC

Practice address

4921 E Bell Rd
Suite 205
Scottsdale, AZ 85254-6002

Phone

(602) 765-4499

Fax

(602) 765-0405

NPI assigned

Feb 7, 2007

Last updated

Mar 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alvin Bruce Elisco, MD

Title

President

Phone

(602) 765-4499

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1487794657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY",
            "address_2": "SUITE 103-611",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542065",
            "telephone_number": "602-765-4499",
            "fax_number": "602-765-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 E BELL RD",
            "address_2": "SUITE 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546002",
            "telephone_number": "602-765-4499",
            "fax_number": "602-765-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN B. ELISCO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "ELISCO",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-765-4499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "14146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatianna Nichole Alvarado, PMHNP-BC
• Linda Alvarez-Thull, MD
• Krizol Alvarez
• Richard Alverson, DDS
• Mari Alvig, D.O.
• Jeremy Alvord, M.D.
• Cory M Alwardt, C.C.P.
• Always Safe at Home, Inc. Dba Bloom Concierge Home Care (Bloom Concierge Home Care)
• Mohamed Ramez Aly, MD
• Sadeer Alzubaidi, M.D

• Internal Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.