Organization Active NPI

Rise Wellness Center PC

  • Sports Medicine (Family Medicine) Physician
  • Scottsdale, AZ
National Provider Identifier
1609201078
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
2830 Issued in AZ
Legal business name
RISE WELLNESS CENTER PC
Practice address
15300 N 90TH St Ste 950
Scottsdale, AZ 85260-2774
Phone
(480) 941-2147
Fax
(480) 941-2157
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Authorized official

Name
Adam Winter
Title
Billing Manager
Phone
(602) 577-8836

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X 2830 AZ
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X 2830 AZ Primary

Addresses

Primary practice location

15300 N 90TH St Ste 950
Scottsdale, AZ 85260-2774

Mailing address

15300 N 90TH St Ste 950
Scottsdale, AZ 85260-2774
Phone (480) 941-2147

National Provider Directory

National Provider Directory

Locations

15300 N 90th St
Ste 950
Scottsdale, AZ 85260
Phone (480) 941-2147

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1609201078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 N 90TH ST STE 950",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602774",
            "telephone_number": "480-941-2147",
            "fax_number": "480-941-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 N 90TH ST STE 950",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602774",
            "telephone_number": "480-941-2147",
            "fax_number": "480-941-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "602-577-8836"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "2830",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "2830",
            "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 28, 2013; 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.