Bodysculpting Outpatient Surgery Center, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BODYSCULPTING OUTPATIENT SURGERY CENTER, LLC

Practice address

2255 N Scottsdale Road
Scottsdale, AZ 85257

Phone

(480) 464-8000

Fax

(480) 990-2556

NPI assigned

Dec 20, 2019

Organization subpart

No

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

Authorized official

Name

Ethan Philpott, M.D.

Title

Medical Director

Phone

(480) 464-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1639717655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 N SCOTTSDALE ROAD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85257",
            "telephone_number": "480-464-8000",
            "fax_number": "480-990-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 N SCOTTSDALE ROAD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85257",
            "telephone_number": "480-464-8000",
            "fax_number": "480-990-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYSCULPTING OUTPATIENT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "PHILPOTT",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-464-8000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Bodine
• Walter Bodjanac, D.O.
• Joshua Tony Bodrero, DO
• Body 4 Life
• Body Mechanics Physical Therapy
• Nicholas Boe, MD
• Steven Paul Boerner, RPH
• Charles C Boeyink
• Brian Stanley Bogdanowicz, PHARMD, BCACP
• Jamie M Bogle, AU.D., PH.D.

• Multi-Specialty Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.