Active NPI
Honorhealth Ambulatory
- Cardiovascular Disease Physician
- Scottsdale, AZ
National Provider Identifier
1710504667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- HONORHEALTH AMBULATORY
- Practice address
- 20201 N Scottsdale Healthcare Dr Ste 200
Scottsdale, AZ 85255-4137 - Phone
- (602) 386-1100
- NPI assigned
- Jun 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Savas Petrides
- Title
- SVP/Ceo
- Phone
- (480) 696-4020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
20201 N Scottsdale Healthcare Dr Ste 200
Scottsdale, AZ 85255-4137
Mailing address
2500 W Utopia Rd Ste 100
Phoenix, AZ 85027-4172
Phone (480) 587-5314
Other names 1
- SCOTTSDALE HEALTHCARE CORP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071005000449 | AZ | Part B Supplier - Clinic/Group Practice | 5991603110 |
Receives reassigned benefits from 953 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Honorhealth Ambulatory
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Surgery Physician
- Phoenix, AZ
- NPI 1649197070
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1649894890
-
dba HonorHealth Neurology
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1659894251
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1659995892
-
- Surgery Physician
- Scottsdale, AZ
- NPI 1659996056
-
- Urology Physician
- Phoenix, AZ
- NPI 1669358552
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1689279390
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1699399840
-
- Otolaryngology Physician
- Glendale, AZ
- NPI 1699621557
-
- Surgery Physician
- Tempe, AZ
- NPI 1700603206
-
- Surgical Oncology Physician
- Surprise, AZ
- NPI 1720659022
-
- Physical Medicine & Rehabilitation Physician
- Scottsdale, AZ
- NPI 1740030493
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Scottsdale, AZ
- NPI 1891044202
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1659377398
-
- Nurse Practitioner
- Scottsdale, AZ
- NPI 1578040077
-
- Acute Care Nurse Practitioner
- Scottsdale, AZ
- NPI 1457867517
-
- Family Nurse Practitioner
- Anthem, AZ
- NPI 1447622782
-
- Medical Physician Assistant
- Oakhurst, CA
- NPI 1427575422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600387200000",
"number": "1710504667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W UTOPIA RD STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274172",
"telephone_number": "480-587-5314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20201 N SCOTTSDALE HEALTHCARE DR STE 200",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852554137",
"telephone_number": "602-386-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HONORHEALTH AMBULATORY",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-26",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A",
"authorized_official_last_name": "PETRIDES",
"authorized_official_first_name": "SAVAS",
"authorized_official_title_or_position": "SVP/CEO",
"authorized_official_telephone_number": "480-696-4020"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SCOTTSDALE HEALTHCARE CORP",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Sep 18, 2020; 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.