Organization Active NPI

Scottsdale Surgical Consultants PC

  • Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1710168083
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
27673 Issued in AZ
Legal business name
SCOTTSDALE SURGICAL CONSULTANTS PC
Practice address
3501 N Scottsdale Rd
Suite 234
Scottsdale, AZ 85251-5648
Phone
(480) 421-1991
Fax
(480) 421-1996
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. Tom Alan Wolvos, MDNPI 1003808072
Title
President/Owner
Phone
(480) 421-1991

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 27673 AZ Primary

Addresses

Primary practice location

3501 N Scottsdale Rd
Suite 234
Scottsdale, AZ 85251-5648

Mailing address

3501 N Scottsdale Rd
Suite 234
Scottsdale, AZ 85251-5648
Phone (480) 421-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414001808 AZ Part B Supplier - Clinic/Group Practice 5597750117 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

6501 E Greenway Pkwy
Ste 103520
Scottsdale, AZ 85254

3501 N Scottsdale Rd
Ste 234
Scottsdale, AZ 85251
Phone (480) 421-1991

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1710168083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD",
            "address_2": "SUITE 234",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515648",
            "telephone_number": "480-421-1991",
            "fax_number": "480-421-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD",
            "address_2": "SUITE 234",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515648",
            "telephone_number": "480-421-1991",
            "fax_number": "480-421-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE SURGICAL CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "WOLVOS",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "480-421-1991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "27673",
            "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 Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.