Individual provider Active NPI

William J Hyde, MD

  • Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1740257161
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10905 Issued in AZ
Practice address
3604 N Wells Fargo Ave
Ste L
Scottsdale, AZ 85251-5629
Phone
(480) 947-7401
Fax
(480) 946-5565
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 10905 AZ Primary

Addresses

Primary practice location

3604 N Wells Fargo Ave
Ste L
Scottsdale, AZ 85251-5629

Mailing address

3604 N Wells Fargo Ave
Ste L
Scottsdale, AZ 85251-5629
Phone (480) 947-7401

Other identifiers 1

IdentifierTypeStateIssuer
211631OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10905AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter J. Ferrara M.D. P.C. Surgery Past Accepting new patients
Elena Sibley M.D. P.C. Surgery Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1740257161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 N WELLS FARGO AVE",
            "address_2": "STE L",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515629",
            "telephone_number": "480-947-7401",
            "fax_number": "480-946-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 N WELLS FARGO AVE",
            "address_2": "STE L",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515629",
            "telephone_number": "480-947-7401",
            "fax_number": "480-946-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "10905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "211631",
            "state": "AZ"
        }
    ],
    "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 Oct 10, 2007; 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.