Organization Active NPI

Schlotterer Gynecology LLC

  • Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1891150868
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
21607 Issued in AZ
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

Updated by the provider on Mar 7, 2023

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.NPI 1992765846
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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
141995MedicaidAZ
11032822OtherAZCAQH
MICA01035OtherAZMICA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.