NPIMap

Organization Active NPI

Shelly a Friedman

  • Dermatology Physician
  • Scottsdale, AZ
National Provider Identifier
1790983146
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2179 Issued in AZ
Legal business name
SHELLY A FRIEDMAN
Practice address
8800 East Raintree Dr
Suite 350
Scottsdale, AZ 85260-6709
Phone
(480) 970-0300
NPI assigned
Jul 6, 2007
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Shelly A Friedman, D.O.NPI 1699982611
Title
Physician and President
Phone
(480) 970-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 2179 AZ Primary

Addresses

Primary practice location

8800 East Raintree Dr
Suite 350
Scottsdale, AZ 85260-6709

Mailing address

8800 East Raintree Dr
Suite 350
Scottsdale, AZ 85260
Phone (480) 970-0300

Other names 1

  • Scottsdale Institute For Cosmetic Dermatology Former legal business name

National Provider Directory

National Provider Directory

Locations

8800 E Raintree Dr
Ste 350
Scottsdale, AZ 85260
Phone (480) 970-0300

Practitioners & affiliated clinicians

Practitioners 2

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1790983146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 EAST RAINTREE DR",
            "address_2": "SUITE 350",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-970-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 EAST RAINTREE DR",
            "address_2": "SUITE 350",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606709",
            "telephone_number": "480-970-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY A FRIEDMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN AND PRESIDENT",
        "authorized_official_telephone_number": "480-970-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "2179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsdale Institute For Cosmetic Dermatology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 14, 2008; 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.