Active NPI
Susan del Sordi Staats, DO PLLC
Doing business as Essential Family Health & Wellness
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4490
- Legal business name
- SUSAN DEL SORDI STAATS, DO PLLC
- Doing business as
- Essential Family Health & Wellness
- Practice address
- 11209 N Tatum Blvd Ste 160
Phoenix, AZ 85028-3092 - Phone
- (480) 285-2180
- Fax
- (480) 285-2182
- NPI assigned
- Apr 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan Del Sordi Staats, DO
- Title
- Owner/Physician
- Phone
- (480) 285-2180
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4490 | AZ | Primary |
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
11209 N Tatum Blvd Ste 160
Phoenix, AZ 85028-3092
Mailing address
11209 N Tatum Blvd Ste 160
Phoenix, AZ 85028-3092
Phone (480) 285-2180
Other names 1
- Essential Family Health & Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2083361 | Essential Family Health | Certificate of waiver | Sep 2, 2026 |
National Provider Directory
National Provider DirectoryLocations
11209 N Tatum Blvd
Ste 160
Phoenix, AZ 85028
Phone (480) 285-2180
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1902096092
-
- Adult Health Nurse Practitioner
- Phoenix, AZ
- NPI 1508887670
-
- Nurse Practitioner
- Phoenix, AZ
- NPI 1922003250
-
- Physician Assistant
- Scottsdale, AZ
- NPI 1467954644
-
- Rheumatology Physician
- Scottsdale, AZ
- NPI 1124337621
-
- Massage Therapist
- Phoenix, AZ
- NPI 1467296079
-
- Rheumatology Physician
- Scottsdale, AZ
- NPI 1346082468
-
- Acupuncturist
- Phoenix, AZ
- NPI 1164261491
-
- Interventional Pain Medicine Physician
- Peoria, AZ
- NPI 1982982591
-
- Physician Assistant
- Mesa, AZ
- NPI 1780080549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1649776105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11209 N TATUM BLVD STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283092",
"telephone_number": "480-285-2180",
"fax_number": "480-285-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11209 N TATUM BLVD STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283092",
"telephone_number": "480-285-2180",
"fax_number": "480-285-2182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN DEL SORDI STAATS, DO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-03",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A",
"authorized_official_last_name": "DEL SORDI STAATS",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "480-285-2180",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "4490",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Essential Family Health & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.