Active NPI
Schlotterer Gynecology LLC
- Gynecology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 21607
- Legal business name
- SCHLOTTERER GYNECOLOGY LLC
- Practice address
- 515 W Buckeye Rd
Suite # 402
Phoenix, AZ 85003-2647 - Phone
- (480) 710-6936
- Fax
- (602) 257-9368
- NPI assigned
- Dec 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Elizabeth Schlotterer, M.D.
- Title
- Owner
- Phone
- (480) 710-6936
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 21607 | AZ | Primary |
Addresses
Primary practice location
515 W Buckeye Rd
Suite # 402
Phoenix, AZ 85003-2647
Mailing address
515 W Buckeye Rd
Suite # 402
Phoenix, AZ 85003-2647
Phone (480) 710-6936
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141995 | Medicaid | AZ | |
| 11032822 | Other | AZ | CAQH |
| MICA01035 | Other | AZ | MICA |
National Provider Directory
National Provider DirectoryLocations
515 W Buckeye Rd
Ste 402
Phoenix, AZ 85003
Phone (480) 759-1040
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.
-
- Obstetrics & Gynecology Physician
- Phoenix, AZ
- NPI 1992765846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1891150868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W BUCKEYE RD",
"address_2": "SUITE # 402",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850032647",
"telephone_number": "480-710-6936",
"fax_number": "602-257-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W BUCKEYE RD",
"address_2": "SUITE # 402",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850032647",
"telephone_number": "480-710-6936",
"fax_number": "602-257-9368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHLOTTERER GYNECOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-17",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "SCHLOTTERER",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-710-6936",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "AZ",
"license": "21607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141995",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11032822",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICA",
"identifier": "MICA01035",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.