Organization Active NPI

Phoenix Institute of Microvascular & Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1770970022
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PHOENIX INSTITUTE OF MICROVASCULAR & PLASTIC SURGERY PLLC
Practice address
8900 E Raintree Dr
Ste 400
Scottsdale, AZ 85260-7307
Phone
(602) 331-7811
Fax
(602) 331-5886
NPI assigned
Apr 23, 2015
Last updated
Apr 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Mr. Timothy Cozatt, MBA
Title
Practice Manager
Phone
(602) 331-7811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

8900 E Raintree Dr
Ste 400
Scottsdale, AZ 85260-7307

Mailing address

PO Box 47548
Phoenix, AZ 85068-7548
Phone (602) 331-7811

National Provider Directory

National Provider Directory

Locations

8900 E Raintree Dr
Ste 400
Scottsdale, AZ 85260
Phone (480) 275-7800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1770970022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47548",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850687548",
            "telephone_number": "602-331-7811",
            "fax_number": "602-331-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 E RAINTREE DR",
            "address_2": "STE 400",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607307",
            "telephone_number": "602-331-7811",
            "fax_number": "602-331-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX INSTITUTE OF MICROVASCULAR & PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "COZATT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "602-331-7811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "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 Apr 23, 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.