Organization Active NPI

LS Medical Specialists, PLC

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1679756308
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8864 Issued in AZ
Legal business name
LS MEDICAL SPECIALISTS, PLC
Practice address
16100 N 71St St
#100
Scottsdale, AZ 85254-2225
Phone
(480) 656-0016
Fax
(480) 634-1723
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Martin D Mollen, M. D.
Title
Physician
Phone
(480) 656-0016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 8864 AZ Primary

Addresses

Primary practice location

16100 N 71St St
#100
Scottsdale, AZ 85254-2225

Mailing address

16100 N 71St St
#100
Scottsdale, AZ 85254-2225
Phone (480) 656-0016

National Provider Directory

National Provider Directory

Locations

2525 W Greenway Rd
Ste 114
Phoenix, AZ 85023
Phone (602) 863-6363

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1679756308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 N 71ST ST",
            "address_2": "#100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542225",
            "telephone_number": "480-656-0016",
            "fax_number": "480-634-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 N 71ST ST",
            "address_2": "#100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542225",
            "telephone_number": "480-656-0016",
            "fax_number": "480-634-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LS MEDICAL SPECIALISTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "MOLLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-656-0016",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "8864",
            "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 25, 2011; 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.