Fidelis Diagnostics Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FIDELIS DIAGNOSTICS INC

Practice address

7702 E Doubletree Ranch Rd
Suite: 300
Scottsdale, AZ 85258-2129

Phone

(877) 408-2488

Fax

(866) 776-6641

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Mark Dorner

Title

Cto

Phone

(877) 408-2488

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1851648331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 E DOUBLETREE RANCH RD",
            "address_2": "SUITE: 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582129",
            "telephone_number": "877-408-2488",
            "fax_number": "866-776-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 E DOUBLETREE RANCH RD",
            "address_2": "SUITE: 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582129",
            "telephone_number": "877-408-2488",
            "fax_number": "866-776-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELIS DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "DORNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CTO",
        "authorized_official_telephone_number": "877-408-2488"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan B. Fiacco, FNP
• Kristin Fickes, LAC
• Sanaa Fidai
• Maria Goreth Fidalgo, LCSW
• Cheryl Leigh Fidel, BCBA
• Amy Fiedler-Kitchen, AGACNP-BC
• Erica Fiedler
• Kathryn Elizabeth Field, MD
• Taylor Lee Field, D.D.S.
• Colleen Fields

• Physical Medicine & Rehabilitation Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.