Donald Carl Scicchitano, RPA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6120 Issued in AZ

Practice address

9897 W McDowell Rd Ste 100
Tolleson, AZ 85353-1622

Phone

(623) 474-2300

Fax

(623) 474-2306

NPI assigned

Jul 1, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Urgent Care PLLCGroup PAC ID 8022111749, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Alliance Urgent Care PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Tolleson, AZ
  • NPI 1891888517
  Medicare reassignment Care Compare group
• Arizona Heart Specialists PLLC

  • Cardiovascular Disease Physician
  • Lakeside, AZ
  • NPI 1750513438
  NPD (past)
• Nimbus Health Three PC

  • Clinic/Center
  • Sun City West, AZ
  • NPI 1497523815
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1902034648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9897 W MCDOWELL RD STE 100",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531622",
            "telephone_number": "623-474-2300",
            "fax_number": "623-474-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9897 W MCDOWELL RD STE 100",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531622",
            "telephone_number": "623-474-2300",
            "fax_number": "623-474-2306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9897 W McDowell Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tolleson",
            "state": "AZ",
            "postal_code": "853531622",
            "country_code": "US",
            "telephone_number": "623-474-2300",
            "fax_number": "623-474-2306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCICCHITANO",
        "first_name": "DONALD",
        "middle_name": "CARL",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385553",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Roof
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• Stephanie Salas
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• Hector Alexander Sandoval, PHARMD
• Jana Lynn Scott, FNP-BC
• Mavis Scott
• Jeremy Thomas Scotten, LMT
• Seeds of Love 1 LLC (Seeds of Love 1)
• Rachel M. Segovia

• Physician Assistant in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.