Organization Active NPI

Scottsdale Bariatric Center

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1669483996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SCOTTSDALE BARIATRIC CENTER
Practice address
10200 N 92ND St
Ste 225
Scottsdale, AZ 85258-4534
Phone
(480) 391-3885
Fax
(480) 355-6860
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robin Blackstone, MDNPI 1720099401
Title
Medical Director
Phone
(480) 391-3885

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

10200 N 92ND St
Ste 225
Scottsdale, AZ 85258-4534

Mailing address

10200 N 92ND St
Ste 225
Scottsdale, AZ 85258-4534
Phone (480) 391-3885

National Provider Directory

National Provider Directory

Locations

10200 N 92nd St
Ste 220
Scottsdale, AZ 85258
Phone (480) 391-3885

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669483996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 N 92ND ST",
            "address_2": "STE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584534",
            "telephone_number": "480-391-3885",
            "fax_number": "480-355-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 N 92ND ST",
            "address_2": "STE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584534",
            "telephone_number": "480-391-3885",
            "fax_number": "480-355-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE BARIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKSTONE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-391-3885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.