Organization Active NPI

Family Practice of Scottsdale

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1689831315
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY PRACTICE OF SCOTTSDALE
Practice address
9377 E Bell Rd
Suite 175
Scottsdale, AZ 85260-1502
Phone
(480) 471-5702
Fax
(480) 626-1916
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Jessica T Ellsworth, MD
Title
Owner
Phone
(480) 471-5702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9377 E Bell Rd
Suite 175
Scottsdale, AZ 85260-1502

Mailing address

9377 E Bell Rd
Suite 175
Scottsdale, AZ 85260-1502
Phone (480) 471-5702

Other names 1

  • Family Medicine of Scottsdale Doing business as

National Provider Directory

National Provider Directory

Locations

9377 E Bell Rd
Ste 175
Scottsdale, AZ 85260
Phone (480) 471-5702

Practitioners & affiliated clinicians

Practitioners 1

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1689831315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD",
            "address_2": "SUITE 175",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601502",
            "telephone_number": "480-471-5702",
            "fax_number": "480-626-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD",
            "address_2": "SUITE 175",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601502",
            "telephone_number": "480-471-5702",
            "fax_number": "480-626-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE OF SCOTTSDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-471-5702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine of Scottsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 20, 2008; 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.