NPIMap

Organization Active NPI

Steadfast Integrative Medicine

  • Primary Care Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1578385308
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
STEADFAST INTEGRATIVE MEDICINE
Practice address
15720 N Greenway Hayden Loop Ste 9
Scottsdale, AZ 85260-1796
Phone
(414) 405-9634
NPI assigned
Oct 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Sean McGovern, NDNPI 1295557528
Title
Owner
Phone
(773) 263-8344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

15720 N Greenway Hayden Loop Ste 9
Scottsdale, AZ 85260-1796

Mailing address

15720 N Greenway Hayden Loop Ste 9
Scottsdale, AZ 85260-1796
Phone (414) 405-9634

National Provider Directory

National Provider Directory

Locations

15720 N Greenway Hayden Loop
Ste 9
Scottsdale, AZ 85260
Phone (414) 405-9634

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1578385308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 N GREENWAY HAYDEN LOOP STE 9",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601796",
            "telephone_number": "414-405-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 N GREENWAY HAYDEN LOOP STE 9",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601796",
            "telephone_number": "414-405-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEADFAST INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-263-8344",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Oct 31, 2024; 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.