Organization Active NPI

Scottsdale Anesthesia Associates PLC

  • Gastroenterology Physician
  • Scottsdale, AZ
National Provider Identifier
1720437213
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
24488 Issued in AZ
Legal business name
SCOTTSDALE ANESTHESIA ASSOCIATES PLC
Practice address
9755 N 90TH St
Suite a 205
Scottsdale, AZ 85258-5046
Phone
(480) 614-2215
Fax
(480) 614-2218
NPI assigned
Jun 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Dr. John M Yalam, M.D.
Title
Director
Phone
(480) 614-2215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 24488 AZ Primary

Addresses

Primary practice location

9755 N 90TH St
Suite a 205
Scottsdale, AZ 85258-5046

Mailing address

9755 N 90TH St
Suite a 205
Scottsdale, AZ 85258-5046
Phone (480) 614-2215

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1720437213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 N 90TH ST",
            "address_2": "SUITE A 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585046",
            "telephone_number": "480-614-2215",
            "fax_number": "480-614-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 N 90TH ST",
            "address_2": "SUITE A 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585046",
            "telephone_number": "480-614-2215",
            "fax_number": "480-614-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE ANESTHESIA ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "YALAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-614-2215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "24488",
            "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 Jun 7, 2016; 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.