MD Wellness Centers Scottsdale LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MD WELLNESS CENTERS SCOTTSDALE LLC

Practice address

7555 E Osborn Rd
Ste 200
Scottsdale, AZ 85251-6434

Phone

(480) 436-5151

Fax

(480) 436-5153

NPI assigned

Oct 13, 2015

Last updated

Oct 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcus Southworth

Title

Manager/Owner

Phone

(801) 535-4677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1740651025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 S MAIN ST",
            "address_2": "STE 1300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 E OSBORN RD",
            "address_2": "STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516434",
            "telephone_number": "480-436-5151",
            "fax_number": "480-436-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD WELLNESS CENTERS SCOTTSDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "SOUTHWORTH",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "801-535-4677"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.