Organization Active NPI

Laurie a Farricielli MD, PC

  • Hospitalist Physician
  • Scottsdale, AZ
National Provider Identifier
1528204005
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
21865 Issued in AZ
Legal business name
LAURIE A FARRICIELLI MD, PC
Practice address
6360 E. Thomas Rd.
#218
Scottsdale, AZ 85251-7054
Phone
(480) 860-0935
Fax
(480) 860-6569
NPI assigned
Jan 5, 2009
Last updated
Jan 5, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
LAURIE A. FARRICIELLI MD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Dr. Laurie A Farricielli, MD
Title
President
Phone
(480) 860-0935

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 21865 AZ
Hospitalist Physician 208M00000X 21865 AZ Primary

Addresses

Primary practice location

6360 E. Thomas Rd.
#218
Scottsdale, AZ 85251-7054

Mailing address

P.O. Box 14406
Scottsdale, AZ 85267-4406
Phone (480) 860-0935

Other identifiers 1

IdentifierTypeStateIssuer
172370MedicaidAZ

National Provider Directory

National Provider Directory
Part of
Laurie a Farricielli MD PC

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

6360 E Thomas Rd
#218
Scottsdale, AZ 85251
Phone (480) 949-7340

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1528204005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 14406",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852674406",
            "telephone_number": "480-860-0935",
            "fax_number": "480-860-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 E. THOMAS RD.",
            "address_2": "#218",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517054",
            "telephone_number": "480-860-0935",
            "fax_number": "480-860-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE A FARRICIELLI MD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAURIE A. FARRICIELLI MD, PC",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "FARRICIELLI",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-860-0935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "AZ",
            "license": "21865",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "21865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172370",
            "state": "AZ"
        }
    ],
    "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 Jan 5, 2009; 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.