Organization Active NPI

Arizona Integrative Medical Center, P.C.

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1841333077
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ARIZONA INTEGRATIVE MEDICAL CENTER, P.C.
Practice address
8144 E Cactus Rd
Suite 820
Scottsdale, AZ 85260-5266
Phone
(480) 214-3922
NPI assigned
Feb 15, 2007
Last updated
Nov 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Paul StalloneNPI 1730450602
Title
President
Phone
(480) 214-3922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

8144 E Cactus Rd
Suite 820
Scottsdale, AZ 85260-5266

Mailing address

8144 E Cactus Rd
Suite 820
Scottsdale, AZ 85260-5266
Phone (480) 214-3922

Other identifiers 1

IdentifierTypeStateIssuer
AZ02116670OtherAZAZBCBS

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
03D1025166Arizona Integrative Medical Center8144 E Cactus Rd, #820, Scottsdale, AZ 85260Certificate of waiverApr 29, 2028

National Provider Directory

National Provider Directory

Locations

8144 E Cactus Rd
Ste 820
Scottsdale, AZ 85260
Phone (480) 214-3922

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1841333077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8144 E CACTUS RD",
            "address_2": "SUITE 820",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605266",
            "telephone_number": "480-214-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8144 E CACTUS RD",
            "address_2": "SUITE 820",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605266",
            "telephone_number": "480-214-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INTEGRATIVE MEDICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "STALLONE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-214-3922"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZBCBS",
            "identifier": "AZ02116670",
            "state": "AZ"
        }
    ],
    "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 Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.