Organization Active NPI

Scottsdale Obstetrics & Gynecology, P. C.

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
National Provider Identifier
1790953438
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
29095 Issued in AZ
Legal business name
SCOTTSDALE OBSTETRICS & GYNECOLOGY, P. C.
Practice address
10210 N 92ND St Ste 306
Scottsdale, AZ 85258-4525
Phone
(480) 945-4849
Fax
(480) 945-0989
NPI assigned
Feb 15, 2008
Last updated
Jun 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Mrs. Carey Kerby
Title
Office Manager
Phone
(480) 945-4849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 29095 AZ Primary

Addresses

Primary practice location

10210 N 92ND St Ste 306
Scottsdale, AZ 85258-4525

Mailing address

10210 N 92ND St Ste 306
Scottsdale, AZ 85258-4525
Phone (480) 945-4849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330001646 AZ Part B Supplier - Clinic/Group Practice 6608868864 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0725618Scottsdale Obstetrics &Gynecology PC10210 N 92ND St Ste 306, Scottsdale, AZ 85258Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

10210 N 92nd St
Ste 306
Scottsdale, AZ 85258
Phone (480) 636-1149

7331 E Osborn Dr
Ste 305
Scottsdale, AZ 85251
Phone (480) 629-8390

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6325/brand/1/csg/1/fhir/r4

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": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1790953438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST STE 306",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584525",
            "telephone_number": "480-945-4849",
            "fax_number": "480-945-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST STE 306",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584525",
            "telephone_number": "480-945-4849",
            "fax_number": "480-945-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE OBSTETRICS & GYNECOLOGY, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "KERBY",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-945-4849",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "29095",
            "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 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.