Individual provider Active NPI

James Seamus Mulloy, MD

  • Anesthesiology Physician
  • Scottsdale, AZ
National Provider Identifier
1811984834
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
18660 Issued in AZ
Practice address
8102 E McDowell Rd Ste 2a
Scottsdale, AZ 85257-3819
Phone
(480) 272-8411
Fax
(480) 361-1435
NPI assigned
Oct 4, 2005
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 18660 AZ Primary

Addresses

Primary practice location

8102 E McDowell Rd Ste 2a
Scottsdale, AZ 85257-3819

Mailing address

PO Box 160
Scottsdale, AZ 85252-0160
Phone (480) 272-8411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000274 AZ Practitioner - Anesthesiology 1850365065 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18660AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon State Anesthesiologists PC Anesthesiology CurrentSince Oct 16, 2010 Accepting new patients
Sarah Aponte, MD PLC Anesthesiology PastSince Mar 27, 2022 Accepting new patients
Nova Anesthesiologists & Perioperative Services Anesthesiology PastSince Mar 27, 2022 Accepting new patients
WSR Anesthesia PLLC Specialist Past Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

4820 E McDowell Rd
Ste 101
Phoenix, AZ 85008
Phone (602) 266-3399

8102 E McDowell Rd
Ste 2A
Scottsdale, AZ 85257
Phone (480) 272-8411

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1811984834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852520160",
            "telephone_number": "480-272-8411",
            "fax_number": "480-361-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 E MCDOWELL RD STE 2A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573819",
            "telephone_number": "480-272-8411",
            "fax_number": "480-361-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLOY",
        "first_name": "JAMES",
        "middle_name": "SEAMUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "18660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.