Organization Active NPI

Executive Digestive Health

  • Gastroenterology Physician
  • Scottsdale, AZ
National Provider Identifier
1629563085
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
31610 Issued in AZ
Legal business name
EXECUTIVE DIGESTIVE HEALTH
Practice address
8761 E Bell Rd Ste 101
Scottsdale, AZ 85260-1316
Phone
(480) 219-6662
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Jaffrey Kazi, MD
Title
President
Phone
(480) 219-6662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 31610 AZ Primary

Addresses

Primary practice location

8761 E Bell Rd Ste 101
Scottsdale, AZ 85260-1316

Mailing address

8761 E Bell Rd Ste 105
Scottsdale, AZ 85260-1316
Phone (480) 219-6662

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1629563085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8761 E BELL RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601316",
            "telephone_number": "480-219-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 E BELL RD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601316",
            "telephone_number": "480-219-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE DIGESTIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "KAZI",
        "authorized_official_first_name": "JAFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-219-6662",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "31610",
            "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 Jun 28, 2018; 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.