Theodore Phillip Firestone, MD

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

19529 Issued in AZ

Practice address

20401 N 73Rd St
Ste 160
Scottsdale, AZ 85255

Phone

(480) 237-5727

Fax

(480) 657-3207

NPI assigned

Jan 17, 2006

Last updated

Oct 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 1, 2014 through Sep 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Joint Replacement Center of Scottsdale

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Scottsdale, AZ
  • NPI 1841202678
  NPD (past) Authorized official
• Institute for Bone and Joint Disorders PC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1376513291
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1689654790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST",
            "address_2": "SUITE 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-237-5727",
            "fax_number": "480-657-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST",
            "address_2": "STE 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-237-5727",
            "fax_number": "480-657-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRESTONE",
        "first_name": "THEODORE",
        "middle_name": "PHILLIP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AZ",
            "license": "19529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296352",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Ann Finley, MSN, PMHNP-BC, RN-BC
• Keiko Finnegan, D.C.
• Jerry M Fioramonti, MD
• Laurel Jeanne Fiore, MSW
• Lynne Alexis Fiore, MSN, NP
• Rebecca Firouzi
• First Born II, Inc (Alice Rae Intimate Apparel)
• First Choice Obstetrics and Gynecology, PLC
• First Lifeconnect, LLC
• First Source Health LLC

• Adult Reconstructive Orthopaedic Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.