Active NPI
Laurie a Farricielli MD, PC
- Hospitalist Physician
- Scottsdale, AZ
National Provider Identifier
1528204005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 21865
- 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, 2009
- Organization subpart
- Yes
- Parent organization
- LAURIE A. FARRICIELLI MD, PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172370 | Medicaid | AZ |
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.