Individual provider Active NPI

Arthur J Mollen, D.O.

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1912044579
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1097 Issued in AZ
Practice address
16100 N 71St St
Suite 100
Scottsdale, AZ 85254-2209
Phone
(480) 656-0016
Fax
(480) 634-1723
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1097 AZ Primary
Family Medicine Physician 207Q00000X 0S002787L PA
Family Medicine Physician 207Q00000X 20A 3308 CA
Family Medicine Physician 207Q00000X 20A3308 CA
Family Medicine Physician 207Q00000X OS002787L PA

Addresses

Primary practice location

16100 N 71St St
Suite 100
Scottsdale, AZ 85254-2209

Mailing address

16100 N 71St St
Suite 100
Scottsdale, AZ 85254-2209
Phone (480) 656-0016

Other identifiers 2

IdentifierTypeStateIssuer
264028MedicaidAZ
1097OtherAZSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2023 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1097AZMDAcupuncturist
20A 3308CAMDFamily Medicine Physician
20A3308CAMDFamily Medicine Physician
0S002787LPAMDFamily Medicine Physician
OS002787LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mollen & Kinsley PLLC CurrentSince Apr 23, 2020 Accepting new patients
Mollen Immunization Clinics of North America, Inc. PastSince Aug 19, 2008 Accepting new patients
Vaccination Alternatives, LLC PastSince Oct 17, 2003 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mollen Immunization Clinics, LLC PastSince May 15, 2008 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1912044579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 N 71ST ST",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542209",
            "telephone_number": "480-656-0016",
            "fax_number": "480-634-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 N 71ST ST",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542209",
            "telephone_number": "480-656-0016",
            "fax_number": "480-634-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLEN",
        "first_name": "ARTHUR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1097",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S002787L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 3308",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A3308",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS002787L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264028",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "1097",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.