NPIMap

Organization Active NPI

Scottsdale Healthcare Corporation

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1497163166
Registry record updated Feb 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SCOTTSDALE HEALTHCARE CORPORATION
Practice address
10900 N Scottsdale Rd
Suite 603
Scottsdale, AZ 85254-5216
Phone
(480) 882-7410
Fax
(480) 451-9098
NPI assigned
Jul 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2019

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

Authorized official

Name
Richard Silver
Title
Ceo
Phone
(623) 434-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10900 N Scottsdale Rd
Suite 603
Scottsdale, AZ 85254-5216

Mailing address

PO Box 845635
Los Angeles, CA 90084-5635
Phone (623) 434-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071005000449 AZ Part B Supplier - Clinic/Group Practice 5991603110 Receives reassigned benefits from 953 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Honorhealth Ambulatory114 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

3311 N 44th St
Phoenix, AZ 85018
Phone (480) 882-7360

7351 E Osborn Rd
Ste 200C
Scottsdale, AZ 85251
Phone (480) 882-7465

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549065600000",
    "number": "1497163166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845635",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845635",
            "telephone_number": "623-434-6200",
            "fax_number": "623-434-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE RD",
            "address_2": "SUITE 603",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545216",
            "telephone_number": "480-882-7410",
            "fax_number": "480-451-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2019-02-02",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-434-6200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Feb 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.