Individual provider Active NPI

Sonja Monik Wanebo, MD

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1629385976
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42765 Issued in AZ
Practice address
7301 E 2ND St
Suite 106
Scottsdale, AZ 85251-5600
Phone
(858) 699-0572
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42765 AZ Primary
Surgery Physician 208600000X 42765 AZ

Addresses

Primary practice location

7301 E 2ND St
Suite 106
Scottsdale, AZ 85251-5600

Mailing address

PO Box 1598
Scottsdale, AZ 85252-1598
Phone (858) 699-0572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118001261 AZ Practitioner - Family PracticePractitioner - Other (Physician) 4183813454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

7242 E Osborn Rd
Suite 420
Scottsdale, AZ 85251-6494
Phone (480) 425-8004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42765AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD CurrentSince Jun 1, 2018 Accepting new patients
Neurosurgical Associates, LTD CurrentSince Jun 1, 2018 Accepting new patients

Locations

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

7301 E 2nd St
Ste 106
Scottsdale, AZ 85251
Phone (480) 425-8004

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

7242 E Osborn Rd
Ste 420
Scottsdale, AZ 85251
Phone (480) 425-8004

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1629385976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1598",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852521598",
            "telephone_number": "858-699-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST",
            "address_2": "SUITE 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515600",
            "telephone_number": "858-699-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANEBO",
        "first_name": "SONJA",
        "middle_name": "MONIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "42765",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "42765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.